COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. (NPI# 1083644165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083644165 |
| Entity Type | Organization |
| Organization Name | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| Other Organization Name | WESTLAKE RADIATION ONCOLOGY MEDICAL CENTER, INC. |
| Practice Address |
1240 S Westlake Blvd Suite 103 Westlake Village CA 91361-1929 |
| Mailing Address |
Dept. 9697 Los Angeles CA 90084-9697 |
| Practice Telephone | 8054944483 |
| Practice Fax Number | 8054949555 |
| Mailing Telephone | 9497216520 |
| Mailing Fax Number | 9497216120 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | DR. JONATHAN R STELLA (PRESIDENT) |
| Authorized Official Telephone | 8055411932 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0047020 | 05 |
| Other Name | Type Code |
|---|---|
| Westlake Radiation Oncology Medical Center, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093749129 | Coastal Radiation Oncology Medical Group, Inc. | Radiology | 1325 E Church St Ste 101, Santa Maria, CA 93454-5915 | 2006-07-11 |
| 1932131158 | Coastal Radiation Oncology Medical Group, Inc. | Radiology | 2985 Sycamore Dr, Simi Valley, CA 93065-1201 | 2006-07-07 |
| 1730111931 | Coastal Radiation Oncology Medical Group, Inc. | Radiology | 100 Casa St, Suite C, San Luis Obispo, CA 93405-1883 | 2006-07-07 |
| 1699707885 | Coastal Radiation Oncology Medical Group, Inc. | Radiology | 1069 Los Palos Dr, Salinas, CA 93901-3916 | 2006-07-07 |
| 1972535359 | Coastal Radiation Oncology Medical Group, Inc. | Radiology | 274 Heather Ct, Templeton, CA 93465-9738 | 2006-07-07 |
| 1922038173 | Coastal Radiation Oncology Medical Group, Inc. | Radiology | 100 Casa St, Suite C, San Luis Obispo, CA 93405-1883 | 2006-07-04 |
| 1922038009 | Coastal Radiation Oncology Medical Group, Inc. | Radiology | 2900 Loma Vista Rd, 100, Ventura, CA 93003-2920 | 2006-07-04 |
| 1811927999 | Coastal Radiation Oncology Medical Group, Inc. | Radiology | 2230 Lynn Rd, Suite 103, Thousand Oaks, CA 91360-1901 | 2006-07-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC., | 1069 Los Palos Dr, Salinas, CA 93901-3916 |
| Street Address |
1240 S WESTLAKE BLVD SUITE 103 |
| City | WESTLAKE VILLAGE |
| State | CA |
| Zip Code | 91361-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265401251 | Dermatology Associates of Westlake | Specialist | 1240 S Westlake Blvd, Suite 205, Westlake Village, CA 91361-1929 | 2006-03-14 |
| 1770935389 | Aurelia Gharzuzi Ciuica | Nurse Practitioner | 1240 S Westlake Blvd, Suite 137, Westlake Village, CA 91361-1929 | 2016-07-07 |
| 1821341819 | Matthew Somerville | Dentist | 1240 S Westlake Blvd, Ste. 139, Westlake Village, CA 91361-1929 | 2012-10-16 |
| 1760771349 | Second Chance Hearing Center, Inc. | Audiologist-Hearing Aid Fitter | 1240 S Westlake Blvd, #113, Westlake Village, CA 91361-1977 | 2011-04-04 |
| 1710293022 | Katherine Michelle Tsap | Dentist | 1240 S Westlake Blvd, #127, Westlake Village, CA 91361-1929 | 2010-08-24 |
| 1427369495 | Orthopedic Medical Center2 | Podiatrist | 1240 S Westlake Blvd, 237, Westlake Village, CA 91361-1929 | 2010-06-24 |
| 1053642181 | Steven C. Greenman, D.d.s., Inc. | Clinic/Center | 1240 S Westlake Blvd, Suite 223, Westlake Village, CA 91361-1929 | 2010-01-29 |
| 1720219876 | Steven Charles Greenman | Dentist | 1240 S Westlake Blvd, Suite 223, Westlake Village, CA 91361-1929 | 2009-08-06 |
| 1699957316 | Judith Sabolch Feldman,m.d., A Medical Corporation | Dermatology | 1240 S Westlake Blvd, Suite 217, Westlake Village, CA 91361-1929 | 2007-12-04 |
| 1417145525 | Larry J Slomowitz | Podiatrist | 1240 S Westlake Blvd, Suite 129, Westlake Village, CA 91361-1929 | 2007-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912999533 | Eugene S Ahn | Radiology | 1240 Westlake Blvd, Ste 103, Westlake Village, CA 91361-1929 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
| Find all providers with the same taxonomy | ||||
| City | WESTLAKE VILLAGE |
| Zip Code | 91361 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.