NORTHERN CALIF CHILDRENS HEMATOLOGY & ONCOLOGY MED GRP INC (NPI# 1700943131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700943131 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIF CHILDRENS HEMATOLOGY & ONCOLOGY MED GRP INC |
| Practice Address |
5030 J Street Suite 200 Sacramento CA 95819 |
| Mailing Address |
Po Box 906 Salida CA 95368 |
| Practice Telephone | 9064699337 |
| Practice Fax Number | 2095771509 |
| Mailing Telephone | 2095779900 |
| Mailing Fax Number | 2095771509 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2015-08-03 |
| Authorized Official Name | MR. YUNG YIM (PRESIDENT) |
| Authorized Official Telephone | 9164699337 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0062830 | 05 |
| Street Address |
5030 J STREET SUITE 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245240092 | Susan Fritz-zavacki | Obstetrics & Gynecology | 5030 J Street, Suite 200, Sacramento, CA 95819 | 2006-08-08 |
| 1619120730 | Christine Lynn Sutherland | Physician Assistant | 5030 J Street, Suite 201, Sacramento, CA 95819-4200 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1558881557 | Herrfeldt Business Ventures Inc | In Home Supportive Care | 5363 H Street, Suite A, Sacramento, CA 95819 | 2017-06-21 |
| 1205288222 | Jerad Eugene Morris | Registered Nurse | 3939 J Street, Suite 310, Sacramento Anesthesia Medical Group, Sacramento, CA 95819 | 2016-07-02 |
| 1114306289 | Sacramento Skilled Nursing and Long Term Care Medical Group Inc. | Internal Medicine | 1133 42 Nd Street, Sacramento, CA 95819 | 2015-05-22 |
| 1366708901 | Beverly Lynne Meier-hanaway | Nurse Practitioner | 5151 F Street, Sutter Memorial Hospital, Sacramento, CA 95819 | 2012-04-09 |
| 1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
| 1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
| 1265605273 | Earl Willis Weyers | Anesthesiology | 3939 J St Ste 310, Sacramento, CA 95819 | 2008-04-10 |
| 1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
| Find all providers in zip 95819 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679762140 | Kieran Joseph Fitzpatrick | Pediatrics | 3155 Clairidge Way, Sacramento, CA 95821-3921 | 2007-10-19 |
| 1942494844 | Noriko Satake | Pediatrics | 2521 Stockton Blvd Fl 3, Pediatric Specialty Clinic, Glassrock Bldg, Sacramento, CA 95817-2207 | 2007-09-04 |
| 1386276954 | Jaclyn Mary Rice | Pediatrics | 2279 45th St, Sacramento, CA 95817-1514 | 2020-02-11 |
| 1023286002 | Arun Ranjan Panigrahi | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2008-02-13 |
| 1194858936 | Saunders Charles Hsu | Pediatrics | 5275 F Street, Sacramento, CA 95819 | 2007-03-13 |
| 1083701007 | Yung Yim | Pediatrics | 5275 F Street, Sacramento, CA 95819 | 2006-10-10 |
| 1457451270 | Marcio Henrique Malogolowkin | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2006-09-22 |
| 1356379556 | Yisheng Lee | Pediatrics | 5275 F Street, Sacramento, CA 95819 | 2006-06-28 |
| 1114901303 | Pat C Hardy | Pediatrics | 2516 Stockton Blvd, Department of Pediatrics 3rd Floor, Sacramento, CA 95817-2208 | 2005-12-01 |
| 1780667790 | Douglas Scott Taylor | Pediatrics | 2521 Stockton Blvd, Peds Hem/onc Clinic, 3rd Floor, Sacramento, CA 95817-2207 | 2005-11-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95819 |
Please comment or provide details below to improve the information on NORTHERN CALIF CHILDRENS HEMATOLOGY & ONCOLOGY MED GRP INC.
| 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.