Northern California Community Blood Bank

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NORTHERN CALIFORNIA COMMUNITY BLOOD BANK

Practice address

2524 Harrison Ave
Eureka, CA 95501-3229

Phone

(707) 443-8004

Fax

(707) 443-8007

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Thomas A. Schallert

Title

Administrator

Phone

(707) 443-8004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Elie M Richa, M.D.

  • Hematology & Oncology Physician
  • Eureka, CA
  • NPI 1518937838
  Medicare reassignment NPD
• Margaret A Gordon, M.D.

  • Specialist
  • Eureka, CA
  • NPI 1568462026
  NPD (past)

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1518145192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013229",
            "telephone_number": "707-443-8004",
            "fax_number": "707-443-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013229",
            "telephone_number": "707-443-8004",
            "fax_number": "707-443-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA COMMUNITY BLOOD BANK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "SCHALLERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-443-8004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Coast Oncology & Hematology a Medical Corporation
• North Coast Substance Abuse Council
• North Coast Surgical Specialists
• Northcoast Family Practice Medical Group Inc
• Northcoast Neurosurgical Associates a Medical Corporation
• Northern California Medical Assoc
• Northern United Charter Schools
• Laurel Northrop
• Marcia Jan Norton
• Conner Norwood

• Clinical Medical Laboratory in Eureka, CA
• Providers in Eureka, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.