Mount Diablo Solano Oncology Group

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

MOUNT DIABLO SOLANO ONCOLOGY GROUP

Practice address

100 Hospital Dr
Suite 110B
Vallejo, CA 94589-2580

Phone

(707) 551-3333

NPI assigned

Jan 14, 2013

Organization subpart

No

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

Authorized official

Name

Elizabeth Odumakinde, MD

Title

President

Phone

(925) 674-2108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1134466956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "address_2": "SUITE 110B",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892580",
            "telephone_number": "707-551-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "address_2": "SUITE 110B",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892580",
            "telephone_number": "707-551-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT DIABLO SOLANO ONCOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "ODUMAKINDE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-674-2108",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Mortensen, PHARMD
• Kathleen Prescott Moskowitz, PH.D.
• David Moss, RADT
• Summer Moss
• Ashly Mostamand
• Joy Amanda Moverley, MPH, PA-C
• Serena Mraz, M.D.
• MSK Solutions (Mile High Residential and Behavioral Health)
• MSK Solutions (Mile High Residential Behavior Health Services)
• Kristen Michelle Mueller, MPH, PA-C

• Hematology & Oncology Physician in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.