MOUNT DIABLO SOLANO ONCOLOGY GROUP MEDICAL ASSOCIATES (NPI# 1427361104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427361104 |
| Entity Type | Organization |
| Organization Name | MOUNT DIABLO SOLANO ONCOLOGY GROUP MEDICAL ASSOCIATES |
| Practice Address |
2571 Park Ave Concord CA 94520-1901 |
| Practice Telephone | 9256742100 |
| Practice Fax Number | 9256895135 |
| Mailing Telephone | 9256742100 |
| Mailing Fax Number | 9256895135 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2011-06-09 |
| Authorized Official Name | DR. ELIZABETH A ODUMAKINDE (PRESIDENT) |
| Authorized Official Telephone | 9256742100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
2571 PARK AVE |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114900834 | Lesley C Martin | Internal Medicine | 2571 Park Ave, Concord, CA 94520-1901 | 2005-11-28 |
| 1811140478 | Walailuk Chaiyarat | Internal Medicine | 2571 Park Ave, Concord, CA 94520-1901 | 2008-10-28 |
| 1730394891 | Sudhathi Chichili | Internal Medicine | 2571 Park Ave, Concord, CA 94520 | 2007-05-11 |
| 1952408999 | Elizabeth A Odumakinde | Internal Medicine | 2571 Park Ave, Concord, CA 94520-1901 | 2006-09-20 |
| 1255438206 | Michael J Messer | Specialist | 2571 Park Ave, Concord, CA 94520-1901 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851465165 | Beverly F. Mcleod | Internal Medicine | 2571 Park Avenue, Concord, CA 94520-1901 | 2006-11-20 |
| 1114900834 | Lesley C Martin | Internal Medicine | 2571 Park Ave, Concord, CA 94520-1901 | 2005-11-28 |
| 1942569165 | Laura Musselwhite | Internal Medicine | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2012-05-08 |
| 1811140478 | Walailuk Chaiyarat | Internal Medicine | 2571 Park Ave, Concord, CA 94520-1901 | 2008-10-28 |
| 1750565529 | Yelena Krupitskaya | Internal Medicine | 2700 Grant St Ste 310, Concord, CA 94520-2279 | 2007-12-28 |
| 1104036524 | Geetha Vallabhaneni | Internal Medicine | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2007-05-23 |
| 1730394891 | Sudhathi Chichili | Internal Medicine | 2571 Park Ave, Concord, CA 94520 | 2007-05-11 |
| 1992846943 | Naga Jyothi Gavini | Internal Medicine | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2007-02-11 |
| 1518057090 | Mauricio Pineda-roman | Internal Medicine | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2006-10-13 |
| 1952408999 | Elizabeth A Odumakinde | Internal Medicine | 2571 Park Ave, Concord, CA 94520-1901 | 2006-09-20 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.