WESTSIDE ONCOLOGY PC (NPI# 1245542893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245542893 |
Entity Type | Organization |
Organization Name | WESTSIDE ONCOLOGY PC |
Practice Address |
1328 22nd St Santa Monica CA 90404-2032 |
Mailing Address |
1500 Rosecrans Ave Suite 400 Manhattan Beach CA 90266-3763 |
Practice Telephone | 3108298913 |
Practice Fax Number | 3103156168 |
Mailing Telephone | 3104168956 |
Mailing Fax Number | 3103354098 |
Enumeration Date | 2010-07-12 |
Last Update Date | 2010-07-12 |
Authorized Official Name | DR. LESLIE E BOTNICK (CMO) |
Authorized Official Telephone | 3103354000 |
Authorized Official Credential | MD |
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 |
1328 22ND ST |
City | SANTA MONICA |
State | CA |
Zip Code | 90404-2032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699763094 | Laura D Alexander | Anesthesiology | 1328 22nd St, Department of Anesthesiology, Santa Monica, CA 90404-2032 | 2005-10-10 |
1184192049 | Javid Ghandehari, Md, A California Medical Corporation | Anesthesiology | 1328 22nd St, Santa Monica, CA 90404-2032 | 2018-11-08 |
1376918938 | Westside Neonatology Group | Pediatrics | 1328 22nd St, Santa Monica, CA 90404-2032 | 2015-12-08 |
1598143638 | Diana Escobar | Anesthesiology | 1328 22nd St, Santa Monica, CA 90404-2032 | 2015-05-08 |
1679992713 | Michelle Mahanian Oheb | Anesthesiology | 1328 22nd St, Santa Monica, CA 90404-2032 | 2014-04-15 |
1275977407 | James Hyun-tae Kim | Anesthesiology | 1328 22nd St, Santa Monica, CA 90404-2032 | 2013-04-18 |
1003194200 | Donald L Morton Md & Associates Medical Group | Surgery | 1328 22nd St, Santa Monica, CA 90404-2032 | 2011-07-22 |
1366753683 | 360 Mind | Neurological Surgery | 1328 22nd St, Santa Monica, CA 90404-2032 | 2010-07-01 |
1669799110 | Yashar Ilkhchoui | Anesthesiology | 1328 22nd St, Santa Monica, CA 90404-2032 | 2010-04-23 |
1780901322 | Victoria Lin Danhakl | Anesthesiology | 1328 22nd St, Santa Monica, CA 90404 | 2010-04-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
Find all providers in zip 90404 |
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 |
---|---|---|---|---|
1528062023 | Lisa Martine Chaiken | Radiology | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2005-06-13 |
1417449984 | Smart Radiation Therapy, Inc | Radiology | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 | 2018-05-31 |
1164685830 | Valley Radiotherapy Associates Medical Group Inc | Radiology | 1328 22nd St, Santa Monica, CA 90404-2032 | 2008-07-03 |
1437271798 | Cancer Care Consultants Medical Associates | Radiology | 2428 Santa Monica Blvd, Suite 103, Santa Monica, CA 90404-2045 | 2007-04-05 |
1083764963 | Oscar E Streeter Jr. | Radiology | 2811 Wilshire Blvd, Suite 860, Santa Monica, CA 90403-4803 | 2007-01-11 |
1427033646 | Ronald W Thompson | Radiology | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2005-12-09 |
1437134665 | Robert C Wollman | Radiology | 1328 22nd St, Santa Monica, CA 90404-2032 | 2005-12-09 |
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 |
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City | SANTA MONICA |
Zip Code | 90404 |
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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.