NPIMap

Individual provider Active NPI

Mahboub Rahman Noori, MD

  • Hematology & Oncology Physician
  • Castro Valley, CA
National Provider Identifier
1831695915
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A173453 Issued in CA
Practice address
20055 Lake Chabot Rd Ste 130
Castro Valley, CA 94546-5332
Phone
(833) 444-7622
NPI assigned
Apr 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X A173453 CA Primary
Internal Medicine Physician 207R00000X A173453 CA

Addresses

Primary practice location

20055 Lake Chabot Rd Ste 130
Castro Valley, CA 94546-5332

Mailing address

20055 Lake Chabot Rd Ste 130
Castro Valley, CA 94546-5332
Phone (833) 444-7622

Other practice location 1

155 N Fresno St
Fresno, CA 93701-2302
Phone (559) 499-6500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529001373 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7315389830 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, 134 clinicians

Practice addresses (Care Compare)

900 Mono Way
Sonora, CA 95370-5229
Phone (209) 536-6940

Hospital & facility affiliations

  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335
  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254
  • Mark Twain Medical Center Hospital, San Andreas, CA, CCN 051332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173453CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance Internal Medicine CurrentSince Aug 21, 2024 Accepting new patients
Sonora Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Cancer and Blood Specialty Clinic Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Sonora Community Hospital Hematology & Oncology Current Accepting new patients
Marshall Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Sonora Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Stanford Health Care CurrentSince Aug 21, 2024 Accepting new patients
Marshall Medical Center Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Stanford Health Care Internal Medicine CurrentSince Aug 21, 2024 Accepting new patients
Cancer and Blood Specialty Clinic Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Stanford Health Care Internal Medicine Current Accepting new patients
Marshall Medical Center Hematology & Oncology Past Accepting new patients

Locations

3581 Palmer Dr
Ste 400
Cameron Park, CA 95682
Phone (530) 676-6600

3501 Palmer Dr
Ste 201
Cameron Park, CA 95682
Phone (530) 626-2611

3106 Ponte Morino Dr
Ste B
Cameron Park, CA 95682
Phone (530) 631-1310

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

20055 Lake Chabot Rd
Ste 130
Castro Valley, CA 94546
Phone (510) 888-0657

9900 Talbert Ave
Ste 103A
Fountain Valley, CA 92708
Phone (562) 725-4367

3822 Katella Ave
Ste 100
Los Alamitos, CA 90720

3851 Katella Ave
Ste 125
Los Alamitos, CA 90720
Phone (562) 725-4367

3822 Katella Ave
#100
Los Alamitos, CA 90720

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

1004 Fowler Way
Ste 4
Placerville, CA 95667
Phone (530) 626-9488

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

900 Mono Way
Sonora, CA 95370
Phone (209) 536-6925

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: mnoori705092@hisp.ehr.sutterhealth.org

Organizations & group practices 12

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

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1831695915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20055 LAKE CHABOT RD STE 130",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465332",
            "telephone_number": "833-444-7622",
            "fax_number": "925-225-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20055 LAKE CHABOT RD STE 130",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465332",
            "telephone_number": "833-444-7622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012302",
            "country_code": "US",
            "telephone_number": "559-499-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOORI",
        "first_name": "MAHBOUB",
        "middle_name": "RAHMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A173453",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A173453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.