NPIMap

Organization Active NPI

Inland Hematology-Oncology Medical Group Inc

  • Hematology & Oncology Physician
  • San Bernardino, CA
National Provider Identifier
1467437848
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A52073 Issued in CA
Legal business name
INLAND HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC
Practice address
401 E Highland Ave Ste C
San Bernardino, CA 92404-3834
Phone
(909) 886-6806
Fax
(909) 883-8132
NPI assigned
Dec 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Dr. Rajiv Malik, M. D.NPI 1255314977
Title
Owner
Phone
(909) 886-6806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X A52073 CA Primary

Addresses

Primary practice location

401 E Highland Ave Ste C
San Bernardino, CA 92404-3834

Mailing address

401 E Highland Ave Ste C
San Bernardino, CA 92404-3834
Phone (909) 886-6806

Other identifiers 2

IdentifierTypeStateIssuer
CP2041OtherCARAILROAD MEDICARE
ZZZ80927Z22MedicaidCA

Other names 1

  • ZZZ80927Z Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080424000306 CA Part B Supplier - Clinic/Group Practice 8224116736 Receives reassigned benefits from 4 practitioners
Practice locations: San Bernardino, CA

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1467437848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E HIGHLAND AVE STE C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043834",
            "telephone_number": "909-886-6806",
            "fax_number": "909-883-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E HIGHLAND AVE STE C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043834",
            "telephone_number": "909-886-6806",
            "fax_number": "909-883-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-886-6806",
        "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": "CA",
            "license": "A52073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP2041",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ80927Z22",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZZZ80927Z",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.