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
- Last updated
- Oct 17, 2018
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Hematology & Oncology Physician
- San Mateo, CA
- NPI 1528125135
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 (Aspire House)
- California Emergency Physicians Medical Group
- California Hand and Wrist Associates,a Medical Corporation
- California Hearing and Research Institute, Inc. (California Hearing Center)
- California Hearing Center and Audiology Services Inc (California Hearing Center)
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.