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SOUTHBAY ONCOLOGY HEMATOLOGY PARTNERS MEDICAL ASSOCIATES NPI 1417974924


NPI Information

NPI: 1417974924
Provider Name: SOUTHBAY ONCOLOGY HEMATOLOGY PARTNERS MEDICAL ASSOCIATES
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
50 E HAMILTON AVE
STE 200
CAMPBELL, CA
ZIP 95008
Phone: (408) 376-2300
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SOUTHBAY ONCOLOGY HEMATOLOGY PARTNERS MEDICAL ASSOCIATES is a hematology and oncology internal medicine in Campbell, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SOUTHBAY ONCOLOGY HEMATOLOGY PARTNERS MEDICAL ASSOCIATES NPI is 1417974924. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

50 E HAMILTON AVE
STE 200
CAMPBELL, CA
ZIP 95008
Phone: (408) 376-2300
Fax: (408) 376-2316

The provider's authorized official is Martin D Rubenstein .
The authorized official title is Physician Partner and has the following contact phone number (408) 376-2300.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyG83884CALIFORNIANo
2207RH0003XInternal MedicineHematology & OncologyG28344CALIFORNIANo
3207RH0003XInternal MedicineHematology & OncologyC41987CALIFORNIANo
4207RH0003XInternal MedicineHematology & OncologyG34432CALIFORNIANo
5207RH0003XInternal MedicineHematology & OncologyA77860CALIFORNIANo
6207RH0003XInternal MedicineHematology & OncologyA82063CALIFORNIANo
7207RH0003XInternal MedicineHematology & OncologyA87232CALIFORNIANo
8207RH0003XInternal MedicineHematology & OncologyG59980CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERCALIFORNIATAX ID
2CU0119OTHERCALIFORNIAMEDICARE RAILROAD
3GR0064240MEDICAIDCALIFORNIA
4ZZZ38343ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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