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MONTEREY BAY ONCOLOGY A MEDICAL CORPORATION NPI 1972542959


NPI Information

NPI: 1972542959
Provider Name: MONTEREY BAY ONCOLOGY A MEDICAL CORPORATION

Doing Business As: PACIFIC CANCER CARE

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 05D0691381

Address:
5 HARRIS COURT
BUILDING T, 2ND FLOOR # 201
MONTEREY, CA
ZIP 93940
Phone: (831) 375-4105
Get Directions

MONTEREY BAY ONCOLOGY A MEDICAL CORPORATION is a hematology and oncology internal medicine in Monterey, 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. MONTEREY BAY ONCOLOGY A MEDICAL CORPORATION NPI is 1972542959. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pacific Cancer Care.

The provider's business location address is:

5 HARRIS COURT
BUILDING T, 2ND FLOOR # 201
MONTEREY, CA
ZIP 93940
Phone: (831) 375-4105
Fax: (831) 372-5722

The provider's authorized official is Valeria M Wareham .
The authorized official title is Executive Director and has the following contact phone number (831) 375-4105.

The CLIA number assigned to this NPI record is 05D0691381 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 10/16/2023.


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
1GR0080140MEDICAIDCALIFORNIA
2ZZZ52494ZOTHERCALIFORNIABCBS

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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