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NORTHERN CALIFORNIA CANCER SPECIALISTS
NPI 1619063435
Internal Medicine - Hematology & Oncology in Jackson, CA

Active since October 05, 2006
617 NEW YORK RANCH RD, JACKSON, CA 95642(209) 257-0292(209) 257-0676 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northern California Cancer Specialists NPPES

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

NORTHERN CALIFORNIA CANCER SPECIALISTS (NPI 1619063435) is a healthcare organization registered as a hematology & oncology in Jackson, California and active in the NPI registry since October 2006. The organization lists Gary G Shi, Owner, as its authorized official.

NPPES Registry Identity

NPI1619063435
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameGARY G SHI MD INC
Location Address617 NEW YORK RANCH RDJackson, CA 95642-9328
Mailing Address617 New York Ranch RdJackson, CA 95642-9328 · (209) 257-0292 · Fax (209) 257-0676
Phone(209) 257-0292
Fax(209) 257-0676
Organization SubpartNo
Authorized OfficialGary G ShiOwner · (209) 257-0292
Enumeration DateOctober 5, 2006
Last NPPES UpdateJanuary 23, 2012
✔ NPI 1619063435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CA · A92230
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.
617 NEW YORK RANCH RD, Jackson, CA 95642
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Other Names 1

Doing Business AsNorthern California Cancer Specialists

Other Identifiers 3

Medicaid00A922300CA
Medicare PINZZZ03380ZCA
Medicare UPINI08147CA

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

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

GARY G SHI MD, PHD
Internal Medicine (Hematology & Oncology)
617 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-0292

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 Gary G Shi MD Inc's NPI number?

The NPI number for Gary G Shi MD Inc is 1619063435. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Northern California Cancer Specialists.

Where is Gary G Shi MD Inc located?

Gary G Shi MD Inc is located at 617 New York Ranch Rd, Jackson, CA 95642. The listed phone number is (209) 257-0292.

What is Gary G Shi MD Inc'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 Gary G Shi MD Inc was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.