Active NPI
Elizabeth A Odumakinde, M.D.
- Hematology & Oncology Physician
- Concord, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G50456
- Practice address
- 2571 Park Ave
Concord, CA 94520-1901 - Phone
- (925) 674-2100
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G50456 | CA | Primary |
Addresses
Primary practice location
2571 Park Ave
Concord, CA 94520-1901
Mailing address
2571 Park Ave
Concord, CA 94520-1901
Phone (925) 674-2100
Other practice location 1
100 Hospital Dr Ste 110B
Vallejo, CA 94589-2577
Phone (925) 674-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G504561 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of California, Davis School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1779 Dominican Way
Suite B
Santa Cruz, CA 95065-1526
Phone (831) 427-7110
2340 Liberty Pkwy
Suite 200
Red Bluff, CA 96080-4350
Phone (530) 529-6010
2571 Park Ave
Concord, CA 94520-1901
Phone (925) 674-2100
310 Hartnell Ave
Suite Aandc
Redding, CA 96002-1800
Phone (530) 245-2900
Hospital & facility affiliations
- St Elizabeth Community Hospital
- Dominican Hospital
- John Muir Medical Center - Concord Campus
- Sutter Solano Medical Center
- Mercy Medical Center Redding
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.32 of 100
- Quality
- 89.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G50456 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current | Accepting new patients | |
| Dignity Health | Current | Accepting new patients | |
| Dignity Health | Current | Accepting new patients | |
| Dignity Health | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
2571 Park Ave
Concord, CA 94520
Phone (925) 674-2100
2540 East St
Concord, CA 94520
Phone (925) 674-2228
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
2340 Liberty Pkwy
Ste 200
Red Bluff, CA 96080
Phone (530) 529-6010
310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390
100 Hospital Dr
Ste 110B
Vallejo, CA 94589
Phone (707) 551-3300
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
3000 Oak Rd
Ste 111
Walnut Creek, CA 94597
Phone (925) 465-8400
1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828
Interoperability endpoints
- eodumakinde41381@hisp.ehr.sutterhealth.org
- elizabeth.odumakinde@mercy.ikm.direct-ci.com
Organizations & group practices 8
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.
-
dba Dignity Health Mercy Oncology Center
- Oncology Clinic/Center
- Redding, CA
- NPI 1336588870
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
dba Mercy Medical Group, a service of Dignity Health Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
dba St. Elizabeth Community Hospital Oncology Center
- Multi-Specialty Clinic/Center
- Red Bluff, CA
- NPI 1134687734
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
-
dba Dignity Health Solano Street Medical Clinic
- Rural Health Clinic/Center
- Corning, CA
- NPI 1609246461
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Elizabeth Community Hospital
- General Acute Care Hospital
- Red Bluff, CA
- NPI 1083732853
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
dba Dignity Health Solano Street Medical Clinic
- Rural Health Clinic/Center
- Corning, CA
- NPI 1609246461
Hospital
-
dba John Muir Health Medical Center, Concord Campus
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
dba Sutter Solano Medical Center
- General Acute Care Hospital
- Vallejo, CA
- NPI 1366686248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1952408999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2571 PARK AVE",
"city": "CONCORD",
"state": "CA",
"postal_code": "945201901",
"telephone_number": "925-674-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2571 PARK AVE",
"city": "CONCORD",
"state": "CA",
"postal_code": "945201901",
"telephone_number": "925-674-2100"
}
],
"practiceLocations": [
{
"address_1": "100 Hospital Dr Ste 110B",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945892577",
"country_code": "US",
"telephone_number": "925-674-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODUMAKINDE",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G50456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G504561",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.