EAST VALLEY HEMATOLOGY ONCOLOGY MEDICAL GROUP – NPI #1477721868
Internal Medicine

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.

EAST VALLEY HEMATOLOGY ONCOLOGY MEDICAL GROUP is a provider located in BURBANK, CA. NPPES has assigned the NPI number 1477721868 to EAST VALLEY HEMATOLOGY ONCOLOGY MEDICAL GROUP on February 19, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 15 years ago on Apr 14, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST VALLEY HEMATOLOGY ONCOLOGY MEDICAL GROUP below.

NPI Profile for
EAST VALLEY HEMATOLOGY ONCOLOGY MEDICAL GROUP

NPI Number
1477721868
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST VALLEY HEMATOLOGY ONCOLOGY MEDICAL GROUP
Primary location
181 S BUENA VISTA ST
4RTH FLOOR
BURBANK, CA 91505-4504
Phone: (818) 840-0921 Fax: (818) 840-7064
Mailing address
PO BOX 51194
LOS ANGELES, CA 90051-5494
Phone: (818) 840-0921 Fax: (818) 840-7064
Organization Subpart
No
Authorized Official
EDWIN JACOBS
M.D.
Phone: (818) 840-0921
Updated
Identifiers

Identifiers for EAST VALLEY HEMATOLOGY ONCOLOGY MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCALAB61363F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.