Individual provider Active NPI

Mansoor Javeed, M.D.

  • Hematology & Oncology Physician
  • Folsom, CA
National Provider Identifier
1205802907
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A49861 Issued in CA
Practice address
1631 Creekside Dr
Folsom, CA 95630
Phone
(916) 250-0377
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A49861 CA Primary

Addresses

Primary practice location

1631 Creekside Dr
Folsom, CA 95630

Mailing address

740 Oak Avenue Pkwy Ste 110
Folsom, CA 95630-6814
Phone (916) 250-0377

Other identifiers 1

IdentifierTypeStateIssuer
GR0095420MedicaidCA

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
I20040408000729 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6901899491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1631 Creekside Dr
Suite 102
Folsom, CA 95630-3820
Phone (916) 250-0377

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology and Oncology Associates of Northern California Hematology & Oncology CurrentSince Apr 1, 2018 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

9390 Big Horn Blvd
Ste 145
Elk Grove, CA 95758
Phone (916) 573-1549

1631 Creekside Dr
Ste 102
Folsom, CA 95630
Phone (916) 250-0377

740 Oak Avenue Pkwy
Ste 110
Folsom, CA 95630

1631 Creekside Dr
Folsom, CA 95630
Phone (916) 250-0377

Interoperability endpoints

  • Direct secure messaging: mjaveed33390@hisp.ehr.sutterhealth.org
  • Direct secure messaging: mansoor.javeed@hoanc.ikm.direct-ci.com

Organizations & group practices 2

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1205802907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 OAK AVENUE PKWY STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306814",
            "telephone_number": "916-250-0377",
            "fax_number": "916-250-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 CREEKSIDE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-250-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVEED",
        "first_name": "MANSOOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A49861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0095420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.