Organization Active NPI

Westpac Hematology & Oncology Center Inc

Doing business as Cancer Center of Guam

  • Hematology & Oncology Physician
  • Tamuning, GU
National Provider Identifier
1467936195
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
WESTPAC HEMATOLOGY & ONCOLOGY CENTER INC
Doing business as
Cancer Center of Guam
Practice address
633 Gov Carlos Camacho Rd Ste B5
Tamuning, GU 96913-3194
Phone
(671) 647-4656
Fax
(671) 647-4660
NPI assigned
Sep 19, 2018
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Mrs. Janet Concepcion
Title
Medical Billing Supervisor
Phone
(671) 647-4656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

633 Gov Carlos Camacho Rd Ste B5
Tamuning, GU 96913-3194

Mailing address

633 Gov Carlos Camacho Rd Ste B5
Tamuning, GU 96913-3194
Phone (671) 647-4656

Other identifiers 1

IdentifierTypeStateIssuer
M-1925OtherGUGUAM MEDICAL BOARD LICENSE

Other names 1

  • Cancer Center of Guam Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190701000173 GU Part B Supplier - Clinic/Group Practice 6002140787 Receives reassigned benefits from 1 practitioner
Practice locations: Tamuning, GU

National Provider Directory

National Provider Directory

Locations

633 Gov Carlos G Camacho Rd
Ste B5
Tamuning, GU 96913
Phone (671) 647-4656

Practitioners & affiliated clinicians

Practitioners 2

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": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1467936195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS CAMACHO RD STE B5",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133194",
            "telephone_number": "671-647-4656",
            "fax_number": "671-647-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS CAMACHO RD STE B5",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133194",
            "telephone_number": "671-647-4656",
            "fax_number": "671-647-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTPAC HEMATOLOGY & ONCOLOGY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "MEDICAL BILLING SUPERVISOR",
        "authorized_official_telephone_number": "671-647-4656",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUAM MEDICAL BOARD LICENSE",
            "identifier": "M-1925",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Center of Guam",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cancer Center of Guam",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.