PCR Oncology, Inc.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

G60994 Issued in CA

Legal business name

PCR ONCOLOGY, INC.

Doing business as

PCR Oncology

Practice address

584 Camino Mercado
Arroyo Grande, CA 93420-1816

Phone

(805) 474-9143

Fax

(805) 474-9569

NPI assigned

Apr 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. David Leigh Palchak, M.D.NPI 1396815965

Title

Physician/Owner

Phone

(805) 474-9143

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• PCR Oncology Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• David L. Palchak, M.D.

  • Hematology & Oncology Physician
  • Arroyo Grande, CA
  • NPI 1396815965
  Medicare reassignment Care Compare group NPD Authorized official
• Erick W. Hjortsvang, MD

  • Internal Medicine Physician
  • Arroyo Grande, CA
  • NPI 1275611857
  Medicare reassignment Care Compare group NPD
• Kimen M Colgan, PA

  • Physician Assistant
  • Pismo Beach, CA
  • NPI 1699739227
  Medicare reassignment
• Laurie Katherine Moore, PA

  • Physician Assistant
  • Pismo Beach, CA
  • NPI 1659694057
  NPD (past)

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1891139317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 CAMINO MERCADO",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201816",
            "telephone_number": "805-474-9143",
            "fax_number": "805-474-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 CAMINO MERCADO",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201816",
            "telephone_number": "805-474-9143",
            "fax_number": "805-474-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCR ONCOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "PALCHAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "805-474-9143",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G60994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G609941",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110116966",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G609940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCR Oncology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PCR Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pashmina Patel, PHARMACIST
• Rajan Patel, M.D.
• Rosanna Paule, PT, DPT
• Pavel Pavlov, DPT
• Zoe Nicole Pawelczak, SLP
• Peace and Purpose Marriage and Family Therapy, Professional Corporation
• Brent Michael Pennelly, MD
• Jennifer Pennon, ARNP
• Cristel Penton
• Alexandra Perdue, ED.S.

• Hematology & Oncology Physician in Arroyo Grande, CA
• Providers in Arroyo Grande, 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 Dec 5, 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.