Organization Active NPI

Sequoia Oncology Medical Assoc

  • Oncology Clinic/Center
  • Visalia, CA
National Provider Identifier
1265405328
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
Legal business name
SEQUOIA ONCOLOGY MEDICAL ASSOC
Practice address
4945 W Cypress Ave
Ste C
Visalia, CA 93277
Phone
(559) 624-3000
Fax
(559) 635-4006
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Robert Allan Havard Jr., MDNPI 1225002694
Title
President
Phone
(559) 624-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041110001248 CA Part B Supplier - Clinic/Group Practice 5698738532 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Visalia, CA; Hanford, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1265405328",
    "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": {
        "organization_name": "SEQUOIA ONCOLOGY MEDICAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "HAVARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-624-3000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.