Healthcare Provider Details

I. General information

NPI: 1346757135
Provider Name (Legal Business Name): HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHERN CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2018
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1631 CREEKSIDE DR
FOLSOM CA
95630
US

IV. Provider business mailing address

740 OAK AVENUE PKWY STE 110
FOLSOM CA
95630-6814
US

V. Phone/Fax

Practice location:
  • Phone: 916-250-0377
  • Fax:
Mailing address:
  • Phone: 916-250-0377
  • Fax: 916-250-0378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA49861
License Number StateCA

VIII. Authorized Official

Name: PROF. NAJMA M JAVEED
Title or Position: PRACTICE MANAGER
Credential: PHD
Phone: 916-250-0377