CANCER CARE ASSOCIATES MEDICAL GROUP INC – NPI #1942299839
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.
CANCER CARE ASSOCIATES MEDICAL GROUP INC is a provider located in SAN PEDRO, CA. NPPES has assigned the NPI number 1942299839 to CANCER CARE ASSOCIATES MEDICAL GROUP INC on October 14, 2005. 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 6 years ago on Aug 22, 2020. 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 CANCER CARE ASSOCIATES MEDICAL GROUP INC below.
NPI Profile for
CANCER CARE ASSOCIATES MEDICAL GROUP INC
(more than 20 years ago)
STE #315
SAN PEDRO, CA 90732-3581 Phone: (310) 750-3300 Fax: (310) 750-3381
4TH FLOOR
REDONDO BEACH, CA 90277-3040 Phone: (310) 750-3300 Fax: (310) 750-3381
CO OWNER PRESIDENT
Phone: (310) 750-3300
Identifiers for CANCER CARE ASSOCIATES MEDICAL GROUP INC
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE SHIELD | ZZZ28793Z | |
| OTHER | RAILROAD MEDICARE | CS0850 |
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) |
CA | FNP17913 |
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.