California Oncology Medical Group of Turlock, Inc.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

CALIFORNIA ONCOLOGY MEDICAL GROUP OF TURLOCK, INC.

Practice address

880 E Tuolumne Rd
103
Turlock, CA 95382-1548

Phone

(209) 669-8300

Fax

(209) 669-9300

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Mohamed Elsayed Eldaly, MD

Title

Director

Phone

(209) 669-8300

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 2

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

• Denia Caneta

  • Family Nurse Practitioner
  • Fresno, CA
  • NPI 1558922328
  NPD (past)
• Christopher R Perkins, MD

  • Hematology & Oncology Physician
  • Fresno, CA
  • NPI 1396820189
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1578643490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 N THESTA ST",
            "address_2": "204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108603",
            "telephone_number": "559-438-7390",
            "fax_number": "559-438-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E TUOLUMNE RD",
            "address_2": "103",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821548",
            "telephone_number": "209-669-8300",
            "fax_number": "209-669-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA ONCOLOGY MEDICAL GROUP OF TURLOCK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "ELDALY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ELSAYED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-669-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "J13239",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0103970",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ67013Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• California Anesthesia Partners, PC
• California Anesthesia Partners, PC
• California Anesthesia Partners, PC
• California Cosmetic Head & Neck Surgical
• California Em-I Medical Services a Medical Corporation
• California State University Stanislaus
• California State University, Stanislaus Student Health Center
• Gisela Camarena
• Camille L. Holmes (Camille L. Holmes, Ph.D.)
• Teresa R Campbell, PA-C

• Hematology & Oncology Physician in Turlock, CA
• Providers in Turlock, 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 2, 2008; 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.