ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES OF THE CENTRAL COAST (NPI# 1750385183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750385183 |
| Entity Type | Organization |
| Organization Name | ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES OF THE CENTRAL COAST |
| Other Organization Name | ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES |
| Practice Address |
715 Tank Farm Road San Luis Obispo CA 93401-4140 |
| Practice Telephone | 8055435577 |
| Practice Fax Number | 8055953231 |
| Mailing Telephone | 8055435577 |
| Mailing Fax Number | 8055953231 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | DR. THOMAS L. SPILLANE (PRESIDENT) |
| Authorized Official Telephone | 8055435577 |
| 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 |
2368027 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CMSP GROUP PIN | 1018 | 01 |
| CA | BLUE SHIELD PIN | ZZZ02934Z-22 | 01 |
| CA | GR0091140 | 05 |
| Other Name | Type Code |
|---|---|
| Oncology Hematology Medical Associates | Other Name - Individual/Organization |
| Street Address |
715 TANK FARM ROAD |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790176543 | Diane De Vos-schmidt | Nurse Practitioner | 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 | 2015-02-16 |
| 1144400771 | Mary M Okimoto | Clinical Nurse Specialist | 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 | 2007-11-12 |
| 1861609414 | Susan K Moon Labriola | Clinical Nurse Specialist | 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 | 2007-05-16 |
| 1457343113 | James M Malone IIi | Internal Medicine | 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 | 2005-08-18 |
| 1477558435 | Thomas J Spillane | Internal Medicine | 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| 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 |
|---|---|---|---|---|
| 1982728796 | Brian Anthony Dicarlo | Internal Medicine | 892 Aerovista Pl Ste 240, San Luis Obispo, CA 93401-8054 | 2007-03-19 |
| 1528080967 | Kathleen April Kennedy | Internal Medicine | 892 Aerovista Pl Ste 130, San Luis Obispo, CA 93401-8054 | 2006-07-24 |
| 1124068515 | Gorgun Akpek | Internal Medicine | 715 Tank Farm Rd Ste C, San Luis Obispo, CA 93401 | 2006-06-07 |
| 1942204375 | Gary L. Harkins | Internal Medicine | 1941 Johnson Ave, Ste 201, San Luis Obispo, CA 93401-4169 | 2005-06-13 |
| 1902249469 | Erin Chamberlain | Internal Medicine | 892 Aerovista Pl Ste 240, San Luis Obispo, CA 93401-8054 | 2013-04-15 |
| 1063775104 | James Link | Internal Medicine | 715 Tank Farm Rd Ste C, San Luis Obispo, CA 93401-7068 | 2012-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999140 | Kamalesh K Sankhala Md Inc | Internal Medicine | 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 | 2020-07-21 |
| 1396365144 | Collin Vu Md, Inc. | Internal Medicine | 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 | 2020-04-22 |
| 1720626757 | Fenix Health Medical Oncology Group PC | Internal Medicine | 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 | 2019-12-20 |
| 1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES OF THE CENTRAL COAST.
| 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.