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CALIFORNIA CANCER CARE MEDICAL GROUP
NPI 1033163688
Internal Medicine - Hematology & Oncology in Modesto, CA

Active since May 19, 2006
1325 MELROSE AVE, SUITE A, MODESTO, CA 95350(209) 524-7000(209) 527-5601 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About California Cancer Care Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALIFORNIA CANCER CARE MEDICAL GROUP (NPI 1033163688) is a healthcare organization registered as a hematology & oncology in Modesto, California and active in the NPI registry since May 2006. The organization lists Mussa Banisadre, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1033163688
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCALIFORNIA CANCER CARE MEDICAL GROUP
Location Address1325 MELROSE AVE, SUITE AModesto, CA 95350-5508
Mailing Address1325 Melrose Ave, Suite AModesto, CA 95350-5508 · (209) 524-7000 · Fax (209) 527-5601
Phone(209) 524-7000
Fax(209) 527-5601
Organization SubpartNo
Authorized OfficialMussa BanisadreMedical Doctor · (209) 524-7000
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1033163688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1325 MELROSE AVE, Modesto, CA 95350
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Other Identifiers 2

Medicare PINZZZ06265ZCA
MedicaidGR0057600CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUSSA BANISADRE MD
Internal Medicine (Hematology & Oncology)
1325 MELROSE AVE, SUITE A
MODESTO, CA 95350
Stanislaus County (209) 524-7000
MUSSA BANISADRE MD INC
Internal Medicine (Hematology & Oncology)
1325 MELROSE AVE, SUITE A
MODESTO, CA 95350
Stanislaus County (209) 527-5601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is California Cancer Care Medical Group's NPI number?

The NPI number for California Cancer Care Medical Group is 1033163688. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is California Cancer Care Medical Group located?

California Cancer Care Medical Group is located at 1325 Melrose Ave Suite A, Modesto, CA 95350. The listed phone number is (209) 524-7000.

What is California Cancer Care Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for California Cancer Care Medical Group was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.