MEMORIAL RADIATION ONCOLOGY MEDICAL GROUP (NPI# 1477984466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477984466 |
| Entity Type | Organization |
| Organization Name | MEMORIAL RADIATION ONCOLOGY MEDICAL GROUP |
| Practice Address |
2801 Atlantic Ave Long Beach CA 90806-1701 |
| Mailing Address |
Po Box 844945 Los Angeles CA 90084-4945 |
| Practice Telephone | 5125832004 |
| Practice Fax Number | 5629330301 |
| Mailing Telephone | 5624926695 |
| Mailing Fax Number | 5629330301 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2020-03-09 |
| Authorized Official Name | ASIF R. HARSOLIA (MD/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5624926695 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL RADIATION ONCOLOGY MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801227285 | Memorial Radiation Oncology Medical Group | Radiology | 24953 Paseo De Valencia, Laguna Hills, CA 92653-4342 | 2013-12-10 |
| 1639509706 | Memorial Radiation Oncology Medical Group | Radiology | 18111 Brookhurst St, Suite Ll0300, Fountain Valley, CA 92708-6728 | 2013-11-26 |
| Street Address |
2801 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912054 | Richard Eric Swensson | Pediatrics | 2801 Atlantic Ave, Long Beach, CA 90806-1737 | 2005-06-16 |
| 1407453152 | Chih-yin Cheng | Pharmacist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-10-06 |
| 1386251270 | Veronica Camarero | Social Worker | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-25 |
| 1942816087 | Carol Lerma | Social Worker | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-23 |
| 1962017327 | Kellie Leann Padilla | Registered Nurse | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-12 |
| 1518571850 | Jeannine Meyer | Social Worker | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-03 |
| 1376154138 | Katelyn Kriegel | Nurse Practitioner | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-08-13 |
| 1689284309 | Jasmin Sidhu, Md Inc | Hospitalist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-08-06 |
| 1245853068 | Blanca Guadalupe Lansang | Nurse Practitioner | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-05-27 |
| 1164044376 | Megan Dongsun Won | Pharmacist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| 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 |
|---|---|---|---|---|
| 1821191446 | Sulabha A Dave | Radiology | 2440 E South St, Long Beach, CA 90805-4426 | 2006-09-07 |
| 1336103209 | Harold Michael Klem | Radiology | 1043 Elm Ave, Long Beach, CA 90813-3271 | 2006-04-17 |
| 1063760494 | Yallapragada S Rao M.d. Inc | Radiology | 2650 Elm Ave, 201, Long Beach, CA 90806-1651 | 2012-08-15 |
| 1790045714 | Randy Li-hung Wei | Radiology | 5901 E 7th St, Long Beach, CA 90822-5201 | 2012-05-23 |
| 1528388295 | Asif R Harsolia Md Inc | Radiology | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2010-06-04 |
| 1508197625 | Linda Chan Md Inc | Radiology | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2010-01-29 |
| 1568567667 | Samar Azawi | Radiology | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-09-13 |
| 1497868079 | Brace Leland Hintz | Radiology | 5901 E 7th St, Department of Radiation Oncology, Long Beach, CA 90822-5201 | 2006-08-16 |
| 1023072915 | Thomas Charles Gates | Radiology | 1043 Elm Ave, Long Beach, CA 90813-3271 | 2006-04-17 |
| 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 | LONG BEACH |
| Zip Code | 90806 |
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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.