NPIMap

Organization Active NPI

California Cancer Associates for Research and Excellence, Inc.

  • Non-Pharmacy Dispensing Site
  • Fresno, CA
National Provider Identifier
1750394342
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
G74904 Issued in CA
Legal business name
CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE, INC.
Practice address
7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone
(559) 447-4949
Fax
(559) 447-4925
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Jedidiah M Monson, MDNPI 1669455390
Title
Owner
Phone
(615) 252-7212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X G74904 CA Primary

Addresses

Primary practice location

7130 N Millbrook Ave
Fresno, CA 93720-3347

Mailing address

104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245
Phone (615) 252-7212

Other practice location 1

1791 E Fir Ave
Fresno, CA 93720
Phone (559) 326-1222 ext. 239

Other names 1

  • cCARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041236 CA DME Supplier - Physician - Hematology/Oncology 8022918937 1 other NPI on this enrollment
Practice locations: Fresno, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cancer Care Assocs of F5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1750394342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "615-252-7212",
            "fax_number": "559-421-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203347",
            "telephone_number": "559-447-4949",
            "fax_number": "559-447-4925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1791 E Fir Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93720",
            "country_code": "US",
            "telephone_number": "559-326-1222 x239",
            "fax_number": "559-326-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2022-05-10",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "MONSON",
        "authorized_official_first_name": "JEDIDIAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-252-7212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G74904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "cCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.