PEDIATRIC HEMATOLOGY ONCOLOGY
NPI 1760549141
Pediatrics - Pediatric Hematology-Oncology in Oakland, CA

Active since January 03, 2007
747 52ND ST, OAKLAND, CA 94609(510) 428-3885 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pediatric Hematology Oncology NPPES

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

PEDIATRIC HEMATOLOGY ONCOLOGY (NPI 1760549141) is a healthcare organization registered as a pediatric hematology-oncology in Oakland, California and active in the NPI registry since January 2007. The organization lists Elliott Vichinsky, Partner, as its authorized official.

NPPES Registry Identity

NPI1760549141
Entity TypeOrganization
Primary Taxonomy2080P0207X
Legal Business NamePEDIATRIC HEMATOLOGY ONCOLOGY
Location Address747 52ND STOakland, CA 94609-1809
Mailing Address5528 Pacheco Blvd, #aPacheco, CA 94553-5126 · (925) 363-8170
Organization SubpartNo
Authorized OfficialElliott VichinskyPartner · (510) 428-3855
Enumeration DateJanuary 3, 2007
Last NPPES UpdateAugust 23, 2013
NPI 1760549141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in CA · ZZZ77127Z
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
747 52ND ST, Oakland, CA 94609

Other Identifiers 3

Medicare ID-Type UnspecifiedZZZ77127ZCA
MedicaidZZZ77127ZCA
OtherZZZ77127ZCA · Blue Shield

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 20

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

Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609

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 Pediatric Hematology Oncology's NPI number?

The NPI number for Pediatric Hematology Oncology is 1760549141. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Pediatric Hematology Oncology located?

Pediatric Hematology Oncology is located at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3885.

What is Pediatric Hematology Oncology's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

When was this NPI record last updated?

The NPPES record for Pediatric Hematology Oncology was last updated on August 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.