Organization Active NPI

Cancerhope a Medical Corporation

  • Pediatric Hematology & Oncology Physician
  • San Francisco, CA
National Provider Identifier
1821172016
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
A20501 Issued in CA
Legal business name
CANCERHOPE A MEDICAL CORPORATION
Practice address
2409 Sacramento Street
San Francisco, CA 94115-2225
Phone
(415) 447-1900
Fax
(415) 447-1909
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jordan Rockwood Wilbur, MD
Title
President
Phone
(415) 447-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0207X A20501 CA Primary

Addresses

Primary practice location

2409 Sacramento Street
San Francisco, CA 94115-2225

Mailing address

2409 Sacramento Street
San Francisco, CA 94115-2225
Phone (415) 447-1900

Other identifiers 1

IdentifierTypeStateIssuer
00A205010MedicaidCA

National Provider Directory

National Provider Directory

Locations

2409 Sacramento St
San Francisco, CA 94115
Phone (415) 447-1900

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821172016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 SACRAMENTO STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152225",
            "telephone_number": "415-447-1900",
            "fax_number": "415-447-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 SACRAMENTO STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152225",
            "telephone_number": "415-447-1900",
            "fax_number": "415-447-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCERHOPE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILBUR",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "ROCKWOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-447-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CA",
            "license": "A20501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A205010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.