Organization Active NPI

California Cancer Associates for Research and Excellence Inc

  • Hematology & Oncology Physician
  • San Marcos, CA
National Provider Identifier
1063785897
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A0654578 Issued in CA
Legal business name
CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC
Practice address
838 Nordahl Rd Ste 300
San Marcos, CA 92069
Phone
(760) 747-8935
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pushpendu Banerjee
Title
Cfo
Phone
(858) 552-1410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X A0654578 CA Primary

Addresses

Primary practice location

838 Nordahl Rd Ste 300
San Marcos, CA 92069

Mailing address

PO Box 25100
Fresno, CA 93729-5100
Phone (559) 326-1222

National Provider Directory

National Provider Directory

Locations

838 Nordahl Rd
Ste 300
San Marcos, CA 92069
Phone (800) 456-5860

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1063785897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295100",
            "telephone_number": "559-326-1222",
            "fax_number": "559-326-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD STE 300",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "92069",
            "telephone_number": "760-747-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "BANERJEE",
        "authorized_official_first_name": "PUSHPENDU",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "858-552-1410"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A0654578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.