Organization Active NPI

Hematology and Oncology Associates of Northern California

  • Hematology & Oncology Physician
  • Folsom, CA
National Provider Identifier
1346757135
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
Legal business name
HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHERN CALIFORNIA
Practice address
1631 Creekside Dr
Folsom, CA 95630
Phone
(916) 250-0377
NPI assigned
Jan 3, 2018
Last updated
May 31, 2024By the provider in NPPES
Organization subpart
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

Authorized official

Name
Prof. Najma M Javeed, PHD
Title
Practice Manager
Phone
(916) 250-0377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 practice location 1

8110 Timberlake Way
Sacramento, CA 95823-5401
Phone (916) 250-0377

Other practice location 2

9390 Big Horn Blvd Ste 145
Elk Grove, CA 95758-7980
Phone (916) 573-1549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180424002808 CA Part B Supplier - Clinic/Group Practice 9335402403 Receives reassigned benefits from 3 practitioners
Practice locations: Elk Grove, CA; Folsom, CA
O20200224001393 CA DME Supplier - Physician - Hematology/Oncology 9335402403 Practice locations: Folsom, CA

National Provider Directory

National Provider Directory

Locations

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

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

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

740 Oak Avenue Pkwy
Ste 110
Folsom, CA 95630

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1346757135",
    "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": [
        {
            "address_1": "8110 Timberlake Way",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958235401",
            "country_code": "US",
            "telephone_number": "916-250-0377",
            "fax_number": "916-250-0378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9390 Big Horn Blvd Ste 145",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957587980",
            "country_code": "US",
            "telephone_number": "916-573-1549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "JAVEED",
        "authorized_official_first_name": "NAJMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "916-250-0377",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A49861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.