Organization Active NPI

Grass Valley Hematology/Oncology Med GRP

  • Hematology & Oncology Physician
  • Grass Valley, CA
National Provider Identifier
1720035561
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
GRASS VALLEY HEMATOLOGY/ONCOLOGY MED GRP
Practice address
155 Glasson Way
Suite L10
Grass Valley, CA 95945-5723
Phone
(530) 274-6677
Fax
(530) 274-6678
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Dr. David Lawrence Campbell, M.D.
Title
Partner
Phone
(530) 274-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

155 Glasson Way
Suite L10
Grass Valley, CA 95945-5723

Mailing address

PO Box 1549
Grass Valley, CA 95945-1549
Phone (530) 274-6677

Other identifiers 7

IdentifierTypeStateIssuer
P00340104OtherCARAILROAD MEDICARE PTAN - DAVID L CAMPBELL, MD
1518959188OtherINDIVIDUAL MD NPI# WILLIAM A NEWSOM JR
DF1247OtherRAILROAD MEDICARE PTAN FOR COMPANY CURRENT AS OF 08/2010
1750373239OtherINDIVIDUAL MD NPI# - DAVID CAMPBELL
GR0061600MedicaidCA
P00314945OtherCARAILROAD MEDICARE PTAN - WILLIAM A NEWSON, JR, MD
ZZZ70159ZOtherPREVIOUS MEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

155 Glasson Way
Ste L10
Grass Valley, CA 95945
Phone (530) 274-6677

155 Glasson Way
#L10
Grass Valley, CA 95945
Phone (530) 274-6677

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1720035561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959451549",
            "telephone_number": "530-274-6677",
            "fax_number": "530-274-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GLASSON WAY",
            "address_2": "SUITE L10",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455723",
            "telephone_number": "530-274-6677",
            "fax_number": "530-274-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASS VALLEY HEMATOLOGY/ONCOLOGY MED GRP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "530-274-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN - DAVID L CAMPBELL, MD",
            "identifier": "P00340104",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MD NPI# WILLIAM A NEWSOM JR",
            "identifier": "1518959188",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN FOR COMPANY CURRENT AS OF 08/2010",
            "identifier": "DF1247",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MD NPI# - DAVID CAMPBELL",
            "identifier": "1750373239",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0061600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN - WILLIAM A NEWSON, JR, MD",
            "identifier": "P00314945",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREVIOUS MEDICARE PTAN",
            "identifier": "ZZZ70159Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.