MARIN RADIATION ONCOLOGY MEDICAL GROUP (NPI# 1184606162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184606162 |
| Entity Type | Organization |
| Organization Name | MARIN RADIATION ONCOLOGY MEDICAL GROUP |
| Practice Address |
1350 S Eliseo Dr 100 Greenbrae CA 94904-2011 |
| Mailing Address |
4301 Northstar Way Modesto CA 95356-9262 |
| Practice Telephone | 2093422300 |
| Practice Fax Number | 2095244240 |
| Mailing Telephone | 2093422300 |
| Mailing Fax Number | 2095244240 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2008-12-08 |
| Authorized Official Name | ERNEST WAYNE TORIGOE (DIRECTOR MEDICAL) |
| Authorized Official Telephone | 2093422300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0046360 | 05 | |
| CA | BLUE SHIELD | ZZZ25782Z | 01 |
| Street Address |
1350 S ELISEO DR 100 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225037500 | John Bettinger | Internal Medicine | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904-2011 | 2005-07-19 |
| 1679127716 | Crystal Ann Brierton | Speech-Language Pathologist | 1350 S Eliseo Dr, Greenbrae, CA 94904-2011 | 2019-07-26 |
| 1841705399 | David Fonseca Tapia | Emergency Medical Technician, Basic | 1350 S Eliseo Dr, Greenbrae, CA 94904-2011 | 2017-12-06 |
| 1538595905 | Julie Ilene Nicholson | Counselor | 1350 S Eliseo Dr, Suite 220, Greenbrae, CA 94904-2011 | 2013-09-17 |
| 1205271483 | Laury Rappaport | Marriage & Family Therapist | 1350 S Eliseo Dr, Suite 120, Greenbrae, CA 94904-2011 | 2013-05-01 |
| 1407192438 | Amy Jeanne Holm | Nurse Practitioner | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2012-12-19 |
| 1801172598 | Melissa Ovalles Tejada | Nurse Practitioner | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2011-10-26 |
| 1073892717 | Prima Medical Foundation | Surgery | 1350 S Eliseo Dr, #210, Greenbrae, CA 94904-2011 | 2011-08-11 |
| 1629370499 | Marin Cancer Care, Inc. | Radiology | 1350 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2011 | 2010-11-29 |
| 1376867010 | Christopher Hogan | Internal Medicine | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2010-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| 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 |
|---|---|---|---|---|
| 1629370499 | Marin Cancer Care, Inc. | Radiology | 1350 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2011 | 2010-11-29 |
| 1972585941 | Joseph Charles Poen | Radiology | 1350 S Eliseo Dr, #100, Greenbrae, CA 94904-2011 | 2005-11-16 |
| 1497737464 | Lloyd Tomoaki Miyawaki | Radiology | 1350 S Eliseo Dr, Ste 100, Greenbrae, CA 94904-2011 | 2005-11-16 |
| 1720060700 | Ernest Wayne Torigoe | Radiology | 1350 S Eliseo Dr, 100, Greenbrae, CA 94904-2011 | 2005-11-16 |
| 1275515256 | Francine Erna Halberg | Radiology | 1350 S Eliseo Dr, #100, Greenbrae, CA 94904-2011 | 2005-11-16 |
| 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 | ||||
Please comment or provide details below to improve the information on MARIN RADIATION ONCOLOGY MEDICAL GROUP.
| 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.