Organization Active NPI

Mount Diablo Solano Oncology Group Medical Associates

  • Hematology & Oncology Physician
  • Concord, CA
National Provider Identifier
1427361104
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MOUNT DIABLO SOLANO ONCOLOGY GROUP MEDICAL ASSOCIATES
Practice address
2571 Park Ave
Concord, CA 94520-1901
Phone
(925) 674-2100
Fax
(925) 689-5135
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Dr. Elizabeth A Odumakinde, M.D.
Title
President
Phone
(925) 674-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

2571 Park Ave
Concord, CA 94520-1901

Mailing address

2571 Park Ave
Concord, CA 94520-1901
Phone (925) 674-2100

National Provider Directory

National Provider Directory

Locations

1525 Webster St
Ste B
Fairfield, CA 94533
Phone (707) 428-0778

100 Hospital Dr
Ste 110B
Vallejo, CA 94589
Phone (707) 551-3300

365 Lennon Ln
Ste 290
Walnut Creek, CA 94598
Phone (925) 274-9000

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1427361104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 PARK AVE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201901",
            "telephone_number": "925-674-2100",
            "fax_number": "925-689-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 PARK AVE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201901",
            "telephone_number": "925-674-2100",
            "fax_number": "925-689-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT DIABLO SOLANO ONCOLOGY GROUP MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "ODUMAKINDE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-674-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.