Individual provider Active NPI

Robert Allan Havard Jr., MD

  • Medical Oncology Physician
  • Visalia, CA
National Provider Identifier
1225002694
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
92313 Issued in CA
Practice address
4945 W Cypress Ave
Ste C
Visalia, CA 93277
Phone
(559) 624-3000
Fax
(559) 635-4006
NPI assigned
Feb 14, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 92313 CA
Medical Oncology Physician 207RX0202X 92313 CA Primary

Addresses

Primary practice location

4945 W Cypress Ave
Ste C
Visalia, CA 93277

Mailing address

4945 W Cypress Ave
Ste C
Visalia, CA 93277
Phone (559) 624-3000

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
I20080807000421 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1951364892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of California, Geffen School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, 110 clinicians

Practice addresses (Care Compare)

4945 W Cypress Ave
Suite C
Visalia, CA 93277-1592
Phone (559) 624-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54783CAMDGeneral Practice Dentistry
92313CAMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Oncology Medical Assoc Current Accepting new patients
Sequoia Oncology Medical Assoc CurrentSince Sep 1, 2002 Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
Kaweah Delta Health Care District CurrentSince Jun 24, 2024 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jun 24, 2024 Accepting new patients
Key Medical Associates, Inc. PastSince Jun 3, 2019 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

857 Garner Ave
Hanford, CA 93230
Phone (559) 584-6000

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

4945 W Cypress Ave
Visalia, CA 93277
Phone (559) 624-3000

4945 W Cypress Ave
Ste C
Visalia, CA 93277
Phone (559) 624-3000

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

Interoperability endpoints

  • Direct secure messaging: robert.havard@srcc.ikm.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225002694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 W CYPRESS AVE",
            "address_2": "STE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-624-3000",
            "fax_number": "559-635-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 W CYPRESS AVE",
            "address_2": "STE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-624-3000",
            "fax_number": "559-635-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVARD",
        "first_name": "ROBERT",
        "middle_name": "ALLAN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "92313",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "92313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.