Mount Diablo Solano Oncology Group Medical Associates

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

Last updated

Jun 9, 2011By 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

Dr. Elizabeth A Odumakinde, M.D.NPI 1952408999

Title

President

Phone

(925) 674-2100

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Elizabeth A Odumakinde, M.D.

  • Hematology & Oncology Physician
  • Concord, CA
  • NPI 1952408999
  Authorized official Same address or phone

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": []
}

• Michael Troy Moses, LCSW108940
• Linnea Mosier
• Cameron Mossor
• Taraneh Mostaghasi, M. D.
• Traci Moua
• Mountain Valley Child and Family Services, Inc.
• Xavier Manuel Mountain, ACSW
• Xiry Moura-Correa
• Amy Katherine Moussa, O.D.
• Marianne Lena Moussa, PHARM.D.

• Hematology & Oncology Physician in Concord, CA
• Providers in Concord, 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 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.