Active NPI
California Cancer Care a Medical Group Inc
- Specialist
- San Mateo, CA
National Provider Identifier
1619945920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CALIFORNIA CANCER CARE A MEDICAL GROUP INC
- Practice address
- 218 De Anza Blvd
San Mateo, CA 94402-3913 - Phone
- (650) 341-9131
- Fax
- (650) 341-9135
- NPI assigned
- Mar 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bradley C Ekstrand, M.D.
- Title
- President
- Phone
- (650) 341-9131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
218 De Anza Blvd
San Mateo, CA 94402-3913
Mailing address
218 De Anza Blvd
San Mateo, CA 94402-3913
Phone (650) 341-9131
National Provider Directory
National Provider DirectoryLocations
218 De Anza Blvd
San Mateo, CA 94402
Phone (650) 341-9131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539734400000",
"number": "1619945920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 DE ANZA BLVD",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023913",
"telephone_number": "650-341-9131",
"fax_number": "650-341-9135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 DE ANZA BLVD",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023913",
"telephone_number": "650-341-9131",
"fax_number": "650-341-9135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA CANCER CARE A MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-10",
"last_updated": "2018-10-17",
"status": "A",
"authorized_official_last_name": "EKSTRAND",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "650-341-9131",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
- Cala Health, Inc.
- Adrian Jake Delacruz Calara
- Rodrigo Xavier Caldera, MA, AMFT
- California Anesthesia Network Nursing Services, PC
- California Anesthesia Network Services, PC
- California Clubhouse
- California Emergency Physicians Medical Group
- California Hand and Wrist Associates,a Medical Corporation
- California Hearing and Research Institute, Inc.
- California Hearing Center and Audiology Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.