Oncology Hematology Medical Associates of the Central Coast

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

2368027 Issued in CA

Legal business name

ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES OF THE CENTRAL COAST

Practice address

715 Tank Farm Road
San Luis Obispo, CA 93401-4140

Phone

(805) 543-5577

Fax

(805) 595-3231

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Thomas L. Spillane, M.D.

Title

President

Phone

(805) 543-5577

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Oncology Hematology Medical Associates Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Joseph Souchek, PA-C

  • Physician Assistant
  • Stanford, CA
  • NPI 1194709881
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1750385183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 TANK FARM ROAD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014140",
            "telephone_number": "805-543-5577",
            "fax_number": "805-595-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 TANK FARM ROAD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014140",
            "telephone_number": "805-543-5577",
            "fax_number": "805-595-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES OF THE CENTRAL COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "SPILLANE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-543-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "2368027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ02934Z-22",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMSP GROUP PIN",
            "identifier": "1018",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0091140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oncology Hematology Medical Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lynlee A Olivera
• Oscar Olivera
• Daniel Wayne Olivieri, M.D.
• Eileen Olosan
• Warren Albert Olson, M.D.
• Victor A Oneschuck
• Options Family of Services
• Maria Elena Ordunez-Lara, LMFT 110970
• Andrea Kathleen Ormonde, DC
• Briana Jazmin Ornelas

• Hematology & Oncology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.