CALIFORNIA ONCOLOGY MEDICAL GROUP OF TURLOCK, INC. (NPI# 1578643490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578643490 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA ONCOLOGY MEDICAL GROUP OF TURLOCK, INC. |
| Practice Address |
880 E Tuolumne Rd 103 Turlock CA 95382-1548 |
| Mailing Address |
6121 N Thesta St 204 Fresno CA 93710-8603 |
| Practice Telephone | 2096698300 |
| Practice Fax Number | 2096699300 |
| Mailing Telephone | 5594387390 |
| Mailing Fax Number | 5594387166 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | MOHAMED ELSAYED ELDALY (DIRECTOR) |
| Authorized Official Telephone | 2096698300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
J13239 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ67013Z | 01 |
| CA | GR0103970 | 05 |
| Street Address |
880 E TUOLUMNE RD 103 |
| City | TURLOCK |
| State | CA |
| Zip Code | 95382-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972564037 | Paul A Carmichael | Surgery | 880 E Tuolumne Rd, Suite 201, Turlock, CA 95382-1548 | 2006-03-29 |
| 1649575671 | Intermed Imaging A Medical Corporation | Radiology | 880 E Tuolumne Rd, Turlock, CA 95382-1548 | 2011-01-24 |
| 1518271782 | Emanuel Medical Center, Inc. | General Acute Care Hospital | 880 E Tuolumne Rd, Suite 201, Turlock, CA 95382-1548 | 2010-07-30 |
| 1447484225 | Jincy Clement | Internal Medicine | 880 E Tuolumne Rd, Turlock, CA 95382-1548 | 2009-05-08 |
| 1891932703 | Michelle A. Digiovanni | Nurse Practitioner | 880 E Tuolumne Rd, Suite 103, Turlock, CA 95382-1548 | 2009-01-14 |
| 1487830741 | Sandra Zaky | Radiology | 880 E Tuolumne Rd, Suite 101, Turlock, CA 95382-1548 | 2008-01-17 |
| 1396828588 | Lucio Manlio Nobile | Internal Medicine | 880 E Tuolumne Rd, Suite 103, Turlock, CA 95382-1548 | 2006-10-23 |
| 1962501718 | Mohamed E Eldaly | Internal Medicine | 880 E Tuolumne Rd, 103, Turlock, CA 95382-1548 | 2006-09-21 |
| 1689692808 | Quoc Thai An Luu | Radiology | 880 E Tuolumne Rd, Suite 101, Turlock, CA 95382-1548 | 2006-07-17 |
| 1730135773 | Oasis Surgical Prof Corp | Surgery | 880 E Tuolumne Rd, Suite 201, Turlock, CA 95382-1548 | 2006-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546536 | S.h.desai, D.d.s. Dental Corporation | Dentist | 3960 Geer Rd, Turlock, CA 95382 | 2019-06-06 |
| 1063982403 | Sangho N/a Cho | Occupational Therapy Assistant | 3025 West Christoffersen Pkwy, Turlock, CA 95382 | 2018-11-28 |
| 1669957254 | Leah Griffith | Behavioral Analyst | 4252 Bardini Way, Turlock, CA 95382 | 2018-09-28 |
| 1508344417 | Aspiranet | Community/Behavioral Health | 1145 W Tuolumne Rd, Turlock, CA 95382 | 2018-08-02 |
| 1730618174 | Hannah Roach | Case Manager/Care Coordinator | 4650 N Olive Ave, Turlock, CA 95382 | 2017-06-08 |
| 1801332960 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2701 N. Berkeley Ave., Turlock, CA 95382 | 2017-01-13 |
| 1205209723 | Caremore Health Plan | Nurse Practitioner | 1000 Delbon Avenue, Suite 5, Turlock, CA 95382 | 2015-11-05 |
| 1942615836 | Michael Collins | Emergency Medical Technician, Basic | 1890 Trail Way, Turlock, CA 95382 | 2014-06-30 |
| 1720493042 | Brandi Purpura | Physical Therapy Assistant | 3800 Geer Rd #101, Turlock, CA 95382 | 2014-06-25 |
| 1255751582 | Erin Hannink | Physical Medicine & Rehabilitation | 3800 Geer Rd Suite 101, Turlock, CA 95382 | 2014-04-25 |
| Find all providers in zip 95382 | ||||
| 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 |
|---|---|---|---|---|
| 1447484225 | Jincy Clement | Internal Medicine | 880 E Tuolumne Rd, Turlock, CA 95382-1548 | 2009-05-08 |
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| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
| 1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
| 1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
| 1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
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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.