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ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES OF THE CENTRAL COAST NPI 1750385183


NPI Information

NPI: 1750385183
Provider Name: ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES OF THE CENTRAL COAST

Other Name: ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
715 TANK FARM ROAD
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 543-5577
Get Directions

ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES OF THE CENTRAL COAST is a hematology and oncology internal medicine in San Luis Obispo, 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. ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES OF THE CENTRAL COAST NPI is 1750385183. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Oncology Hematology Medical Associates.

The provider's business location address is:

715 TANK FARM ROAD
SAN LUIS OBISPO, CA
ZIP 93401-140
Phone: (805) 543-5577
Fax: (805) 595-3231

The provider's authorized official is Thomas L. Spillane .
The authorized official title is President and has the following contact phone number (805) 543-5577.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 1/21/2015.


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 & Oncology2368027CALIFORNIAYes

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
1W15485MEDICARE PIN
2CJ5643MEDICARE PIN
3ZZZ02934Z-22OTHERCALIFORNIABLUE SHIELD PIN
4GR0091140MEDICAIDCALIFORNIA
51018OTHERCALIFORNIACMSP GROUP PIN

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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