NPIMap

Organization Active NPI

Southwest Hematology Oncology Medical Group

  • Hematology & Oncology Physician
  • Murrieta, CA
National Provider Identifier
1578697017
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SOUTHWEST HEMATOLOGY ONCOLOGY MEDICAL GROUP
Practice address
25485 Medical Center Dr Ste 204
Murrieta, CA 92562-6927
Phone
(951) 696-7632
Fax
(951) 696-3644
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

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

Addresses

Primary practice location

25485 Medical Center Dr Ste 204
Murrieta, CA 92562-6927

Mailing address

701 E Grand Ave
Escondido, CA 92025-4466
Phone (760) 737-2666

Other identifiers 1

IdentifierTypeStateIssuer
GR008568MedicaidCA

Other names 1

  • Southwest Cancer Care Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

25485 Medical Center Dr
Ste 204
Murrieta, CA 92562
Phone (951) 696-7632

Practitioners & affiliated clinicians

Practitioners 7

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1578697017",
    "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": "760-737-2666",
            "fax_number": "760-489-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25485 MEDICAL CENTER DR STE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626927",
            "telephone_number": "951-696-7632",
            "fax_number": "951-696-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEMATOLOGY ONCOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-06-05",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR008568",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Cancer Care Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.