PROTON DOCTORS PROFESSIONAL CORPORATION (NPI# 1093240285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093240285 |
| Entity Type | Organization |
| Organization Name | PROTON DOCTORS PROFESSIONAL CORPORATION |
| Practice Address |
9730 Summers Ridge Rd San Diego CA 92121-3101 |
| Mailing Address |
Po Box 270219 San Diego CA 92198-2219 |
| Practice Telephone | 8585497400 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-08-21 |
| Authorized Official Name | ANDREW L CHANG (PRESIDENT) |
| Authorized Official Telephone | 9515334889 |
| 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 |
| Street Address |
9730 SUMMERS RIDGE RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871552950 | Atmaram S Paipanandiker | Radiology | 9730 Summers Ridge Rd, San Diego, CA 92121-3101 | 2006-03-20 |
| 1073853180 | Scripps Clinic Medical Group, Inc | Radiology | 9730 Summers Ridge Rd, Ptc-100, San Diego, CA 92121-3101 | 2013-02-26 |
| 1619260056 | Jehee Isabelle Choi | Radiology | 9730 Summers Ridge Rd, San Diego, CA 92121-3101 | 2011-05-18 |
| 1346251287 | Ryan S Grover | Radiology | 9730 Summers Ridge Rd, San Diego, CA 92121-3101 | 2006-08-09 |
| 1518983055 | Carl Rossi | Radiology | 9730 Summers Ridge Rd, Scripps Proton Therapy Center, San Diego, CA 92121-3101 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| 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 |
|---|---|---|---|---|
| 1447593678 | Heather Michelle Mcgee | Radiology | 3366 Fifth Ave, San Diego, CA 92103-5713 | 2013-04-06 |
| 1235320342 | Henry Chessin | Radiology | 2466 First Ave., Suite B, San Diego, CA 92101-1492 | 2007-08-05 |
| 1104860865 | Francisco S. Pardo Md PC | Radiology | 1855 1st Ave, Suite 200 B, San Diego, CA 92101-2685 | 2006-06-15 |
| 1790724565 | X-ray Medical Group Radiation Oncology Inc | Radiology | 3075 Health Center Drive, Level 0, San Diego, CA 92123 | 2006-06-06 |
| 1871552950 | Atmaram S Paipanandiker | Radiology | 9730 Summers Ridge Rd, San Diego, CA 92121-3101 | 2006-03-20 |
| 1326032129 | Kenneth T Shimizu | Radiology | 10670 John J Hopkins Dr, San Diego, CA 92121-1120 | 2005-09-07 |
| 1396107058 | Christine Feng | Radiology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2016-03-22 |
| 1801281399 | Christopher Andrew Straka | Radiology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2015-04-01 |
| 1679815963 | Tyler Michael Seibert | Radiology | 200 W Arbor Dr, San Diego, CA 92103 | 2013-03-25 |
| 1073853180 | Scripps Clinic Medical Group, Inc | Radiology | 9730 Summers Ridge Rd, Ptc-100, San Diego, CA 92121-3101 | 2013-02-26 |
| Find all providers in SAN DIEGO | ||||
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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.