Provider Demographics
NPI:1629121785
Name:YUBA-SUTTER ONCOLOGY CENTER INC
Entity Type:Organization
Organization Name:YUBA-SUTTER ONCOLOGY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MADHU
Authorized Official - Middle Name:
Authorized Official - Last Name:JODHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-671-5175
Mailing Address - Street 1:481 PLUMAS BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-5075
Mailing Address - Country:US
Mailing Address - Phone:530-671-5175
Mailing Address - Fax:530-671-6541
Practice Address - Street 1:481 PLUMAS BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5075
Practice Address - Country:US
Practice Address - Phone:530-671-5175
Practice Address - Fax:530-671-6541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA050459174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF44789Medicare UPIN