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

15725 Pomerado Rd
Ste 206
Poway, CA 92064-2068

Phone

(760) 737-2666

Fax

(760) 489-2311

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By 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 Managaer

Phone

(760) 737-2666

Specialties & licenses 1

Addresses

Other names 1

• Southwest Cancer Care Medical Group Doing business as

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437282696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254466",
            "telephone_number": "858-451-7066",
            "fax_number": "858-487-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD",
            "address_2": "STE 206",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642068",
            "telephone_number": "760-737-2666",
            "fax_number": "760-489-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEMATOLOGY ONCOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGAER",
        "authorized_official_telephone_number": "760-737-2666"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Cancer Care Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ranju A Soni, M.D.
• Sandeep Ashu Soni, M.D.
• Patrick Michael Sonnenberg, L.AC.
• Kathleen Gorman Sorahan, RN, MFT
• Sage Soulopulos
• Olivia Matilda Sparrvik
• Ketelin Stachelski
• Lindsey Maye Stacy
• Ashley Staley
• Mikelle Stasak

• Hematology & Oncology Physician in Poway, CA
• Providers in Poway, 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 Aug 22, 2020; 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.