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CALIFORNIA CANCER CARE INC. NPI 1417930744


NPI Information

NPI: 1417930744
Provider Name: CALIFORNIA CANCER CARE, INC.

Former Legal Business Name: MARIN ONCOLOGY ASSOCIATES; HEMATOLOGY/ONCOLOGY OF THE PENINSULA

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1350 S ELISEO DR
SUITE 200
GREENBRAE, CA
ZIP 94904
Phone: (415) 925-5000
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CALIFORNIA CANCER CARE, INC. is a specialist in Greenbrae, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CALIFORNIA CANCER CARE, INC. NPI is 1417930744. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Marin Oncology Associates; Hematology/oncology Of The Peninsula.

The provider's business location address is:

1350 S ELISEO DR
SUITE 200
GREENBRAE, CA
ZIP 94904-018
Phone: (415) 925-5000
Fax: (415) 925-5050

The provider's authorized official is Harvey D Bichkoff .
The authorized official title is Ceo and has the following contact phone number (415) 925-5010.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 11/29/2010.


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
1174400000XSpecialistCALIFORNIAYes

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
1YYY50003YMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE
2GR0029730MEDICAIDCALIFORNIA

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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