Individual provider Active NPI

Jonathan Mark Ducore, MD, MPH

  • Pediatric Hematology & Oncology Physician
  • Sacramento, CA
National Provider Identifier
1124001417
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
G062311 Issued in CA
Practice address
2521 Stockton Blvd
Peds Hem/Onc Clinic, 3Rd Floor
Sacramento, CA 95817-2207
Phone
(916) 734-2781
Fax
(916) 734-1357
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X G062311 CA Primary

Addresses

Primary practice location

2521 Stockton Blvd
Peds Hem/Onc Clinic, 3Rd Floor
Sacramento, CA 95817-2207

Mailing address

2516 Stockton Blvd
Ticon II, 3Rd Floor
Sacramento, CA 95817-2208
Phone (916) 734-2781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150514002422 CA Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 1153641188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Hematology/Oncology
Education
Duke University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2279 45TH St
Sacramento, CA 95817-1514
Phone (916) 734-5500

2521 Stockton Blvd
Sacramento, CA 95817-2207
Phone (916) 724-5400

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62311CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
G062311CAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Mar 14, 2015 Accepting new patients
Regents of the Univ of Ca CurrentSince Mar 14, 2015 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2521 Stockton Blvd
Ste 3200
Sacramento, CA 95817
Phone (916) 734-3112

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

2521 Stockton Blvd
Fl 3
Sacramento, CA 95817
Phone (916) 734-2781

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1124001417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 STOCKTON BLVD",
            "address_2": "TICON II, 3RD FLOOR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172208",
            "telephone_number": "916-734-2781",
            "fax_number": "916-451-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 STOCKTON BLVD",
            "address_2": "PEDS HEM/ONC CLINIC, 3RD FLOOR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172207",
            "telephone_number": "916-734-2781",
            "fax_number": "916-734-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCORE",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CA",
            "license": "G062311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.