Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Santa Rosa Orthopaedic Medical Group, Inc

Organization Orthopaedic Surgery Physician · NPI 1518907336

Santa Rosa Orthopaedic Medical Group, Inc is an Orthopaedic Surgery Physician in Santa Rosa, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1701 4th St Ste 200
Santa Rosa, CA 95404-3661
Phone: (707) 546-1922
Fax: (707) 528-1602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X
Orthopaedic Foot and Ankle Surgery Physician Taxonomy 207XX0004X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Orthopaedic Trauma Physician Taxonomy 207XX0801X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Physical Therapist Taxonomy 225100000X
Hand Occupational Therapist Taxonomy 225XH1200X

Record details

NPI number1518907336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evangeline Vlacos — Contracting Credentialing Associate · (510) 387-2193
NPI enumeratedJune 8, 2006
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address1701 4th St Ste 200, Santa Rosa, CA 95404-3661

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