Southwest Hematology Oncology Medical Group

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

SOUTHWEST HEMATOLOGY ONCOLOGY MEDICAL GROUP

Doing business as

Southwest Cancer Care Medical Group

Practice address

701 E Grand Ave
Suite 100
Escondido, CA 92025-4466

Phone

(760) 737-2666

Fax

(760) 466-2227

NPI assigned

Sep 27, 2006

Last updated

Jun 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pat A. Dunn

Title

Business Office Manager

Phone

(760) 737-2666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southwest Cancer Care Medical Group Doing business as

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1346331188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E GRAND AVE",
            "address_2": "SUITE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254466",
            "telephone_number": "760-737-2666",
            "fax_number": "760-466-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E GRAND AVE",
            "address_2": "SUITE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254466",
            "telephone_number": "760-737-2666",
            "fax_number": "760-466-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEMATOLOGY ONCOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "760-737-2666"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085681",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Cancer Care Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hematology & Oncology Physician in Escondido, CA
• Providers in Escondido, 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 Jun 5, 2008; 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.