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DIABLO VALLEY ONCOLOGY AND HEMATOLOGY MEDICAL GROUP INC. NPI 1417953878


NPI Information

NPI: 1417953878
Provider Name: DIABLO VALLEY ONCOLOGY AND HEMATOLOGY MEDICAL GROUP, INC.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
400 TAYLOR BLVD
STE 202
PLEASANT HILL, CA
ZIP 94523
Phone: (925) 677-5041
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DIABLO VALLEY ONCOLOGY AND HEMATOLOGY MEDICAL GROUP, INC. is a hematology and oncology internal medicine in Pleasant Hill, 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. DIABLO VALLEY ONCOLOGY AND HEMATOLOGY MEDICAL GROUP, INC. NPI is 1417953878. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

400 TAYLOR BLVD
STE 202
PLEASANT HILL, CA
ZIP 94523-147
Phone: (925) 677-5041
Fax: (925) 677-5025

The provider's authorized official is Mathew Nelson Sirott .
The authorized official title is President and has the following contact phone number (925) 677-5041.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 8/16/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyG73460CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16190930001MEDICARE NSCCALIFORNIA
2ZZZ19745ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE

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: 5/5/2024

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