Individual provider Active NPI

Elizabeth A Odumakinde, M.D.

  • Hematology & Oncology Physician
  • Concord, CA
National Provider Identifier
1952408999
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G50456 Issued in CA
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

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G504561MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051123000166 CA Practitioner - Hematology/OncologyPractitioner - HematologyPractitioner - Medical Oncology 2668492414 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hematology
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
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians
Dignity HealthGroup PAC ID 2062320559, 88 clinicians
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
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

LicenseStateTypeSpecialty
G50456CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network CurrentSince Sep 1, 2018 Accepting new patients
Dignity Health Current Accepting new patients
Dignity Health CurrentSince Sep 1, 2025 Accepting new patients
Dignity Health CurrentSince Sep 1, 2025 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Sep 19, 2018 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

  • Direct secure messaging: eodumakinde41381@hisp.ehr.sutterhealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.