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GRASS VALLEY HEMATOLOGY/ONCOLOGY MED GRP NPI 1720035561


NPI Information

NPI: 1720035561
Provider Name: GRASS VALLEY HEMATOLOGY/ONCOLOGY MED GRP
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
155 GLASSON WAY
SUITE L10
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 274-6677
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GRASS VALLEY HEMATOLOGY/ONCOLOGY MED GRP is a hematology and oncology internal medicine in Grass Valley, 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. GRASS VALLEY HEMATOLOGY/ONCOLOGY MED GRP NPI is 1720035561. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 GLASSON WAY
SUITE L10
GRASS VALLEY, CA
ZIP 95945-723
Phone: (530) 274-6677
Fax: (530) 274-6678

The provider's authorized official is David Lawrence Campbell .
The authorized official title is Partner and has the following contact phone number (530) 274-6677.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 8/26/2010.


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 & OncologyYes

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
168-0334230OTHERPREVIOUS TAX ID NUMBER PRIOR TO 11/2006
2E95790MEDICARE UPINCALIFORNIA
300G0270122MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPIN# WM A NEWSOM JR MD
4GR0061600MEDICAIDCALIFORNIA
5DF1247OTHERRAILROAD MEDICARE PTAN FOR COMPANY CURRENT AS OF 08/2010
6P00314945OTHERCALIFORNIARAILROAD MEDICARE PTAN - WILLIAM A NEWSON, JR, MD
7A89441MEDICARE UPINCALIFORNIA
81750373239OTHERINDIVIDUAL MD NPI# - DAVID CAMPBELL
91518959188OTHERINDIVIDUAL MD NPI# WILLIAM A NEWSOM JR
10P00340104OTHERCALIFORNIARAILROAD MEDICARE PTAN - DAVID L CAMPBELL, MD
11ZZZ70159ZOTHERPREVIOUS MEDICARE PTAN
12ZZZ02732ZMEDICARE ID-TYPE UNSPECIFIEDALABAMANEW MEDICARE PROVIDER#
1300G647811MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPIN# DAVID L CAMPBELL MD

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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