Individual provider Active NPI

Howard Wayne Fellows, M.D.

  • Hematology & Oncology Physician
  • Downey, CA
National Provider Identifier
1659365526
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G88376 Issued in CA
Practice address
11480 Brookshire Ave Ste 309
Downey, CA 90241-5025
Phone
(562) 869-1201
Fax
(562) 869-1281
NPI assigned
Sep 7, 2005
Reactivated
Apr 13, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 39213 IA
Hematology & Oncology Physician 207RH0003X G88376 CA Primary

Addresses

Primary practice location

11480 Brookshire Ave Ste 309
Downey, CA 90241-5025

Mailing address

11480 Brookshire Ave Ste 309
Downey, CA 90241-5025
Phone (562) 869-1201

Other identifiers 1

IdentifierTypeStateIssuer
1659365526MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hfellows1657688@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050524000720 OR Practitioner - Medical OncologyPractitioner - Hematology/Oncology 3971543943 Reassigns benefits to 1 organization
I20090519000224 CA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 3971543943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians

Practice addresses (Care Compare)

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39213IAMDSpecialist
G88376CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospital District CurrentSince Sep 29, 2025 Accepting new patients
Bay Area Hospital District CurrentSince Sep 29, 2025 Accepting new patients
Dignity Health CurrentSince Sep 16, 2024 Accepting new patients
Dignity Health CurrentSince Sep 16, 2024 Accepting new patients
Kent County Memorial Hospital Past Accepting new patients
North Pacific Cardiology Medical Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Hematology & Oncology Associates of Rhode Island, Inc. Hematology & Oncology Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hfellows181916@direct.llu.edu
  • Direct secure messaging: hfellows224327@secure.stcharleshealthcare.org
  • Direct secure messaging: howard.fellows@theoncologyinstitute.ikm.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659365526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVE STE 309",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415025",
            "telephone_number": "562-869-1201",
            "fax_number": "562-869-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVE STE 309",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415025",
            "telephone_number": "562-869-1201",
            "fax_number": "562-869-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "HOWARD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-22",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "39213",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G88376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659365526",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hfellows1657688@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2710 Dolbeer St",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955014736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.