COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. (NPI# 1699707885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699707885 |
| Entity Type | Organization |
| Organization Name | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| Other Organization Name | SALINAS RADIATION ONCOLOGY MEDICAL CENTER, INC. |
| Practice Address |
1069 Los Palos Dr Salinas CA 93901-3916 |
| Mailing Address |
Po Box 849697 Los Angeles CA 90084-9697 |
| Practice Telephone | 8317582724 |
| Practice Fax Number | 8317581531 |
| Mailing Telephone | 8056485191 |
| Mailing Fax Number | 8056483458 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-07-30 |
| Authorized Official Name | DR. JEFFREY M RODNICK (PRESIDENT) |
| Authorized Official Telephone | 8056485191 |
| 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 | GR00087200 | 05 |
| Other Name | Type Code |
|---|---|
| Salinas 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 |
| 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 |
| 1083644165 | Coastal Radiation Oncology Medical Group, Inc. | Radiology | 1240 S Westlake Blvd, Suite 103, Westlake Village, CA 91361-1929 | 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 |
1069 LOS PALOS DR |
| City | SALINAS |
| State | CA |
| Zip Code | 93901-3916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612626 | Esmond Ka-wai Chan | Radiology | 1069 Los Palos Dr, Salinas, CA 93901 | 2005-07-08 |
| 1659630044 | Jacob Andrade | Radiology | 1069 Los Palos Dr, Salinas, CA 93901 | 2012-05-07 |
| 1578889820 | Kaveh Maghsoudi | Radiology | 1069 Los Palos Dr, Salinas, CA 93901-3916 | 2010-04-12 |
| 1871702233 | Kenneth Biehl | Radiology | 1069 Los Palos Dr, Salinas, CA 93901-3916 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811482 | Ofelia Stephanie Gonzalez | Social Worker | 252 San Jose St. Upstairs Suite, Salinas, CA 93901 | 2020-11-03 |
| 1881222198 | Megan Emery | Occupational Therapist | Monterey County Office of Education, 901 Blanco Circle, Salinas, CA 93901 | 2020-03-31 |
| 1083171433 | Leeann Rose Gutierrez | Behavior Technician | 505 E Romie Lane, Suite E, Salinas, CA 93901 | 2019-02-21 |
| 1043784853 | Jeanne Miranda Gapac Brady | Pharmacy | 420 East Romie Lane, Salinas, CA 93901 | 2019-01-15 |
| 1164994422 | Epigmenio Vazquez | Behavior Technician | 505 E Romie Lane, Salinas, CA 93901 | 2018-12-27 |
| 1043709751 | Stephanie Gailo | Registered Nurse | Dept of Social Services, Family & Children's Services., 1000 S. Main St. Ste 205, Salinas, CA 93901 | 2018-05-08 |
| 1912405846 | Elizabeth Zaragoza | Counselor | 130 W. Gabilan Street, Salinas, CA 93901 | 2018-01-25 |
| 1144749540 | Shelby Lynn Hyosaka | Registered Nurse | 333 Abbott St. - United Ag Health and Wellness Center, Ste. A, Salinas, CA 93901 | 2017-09-17 |
| 1275058075 | Marisol Jacobo | Social Worker | 41 E San Luis St., Salinas, CA 93901 | 2017-08-14 |
| 1225484959 | Kristen Ryan Russell | Occupational Therapist | Windsor Gardens Center of Rehabilitation, 637 E Romie Ln, Salinas, CA 93901 | 2016-05-12 |
| Find all providers in zip 93901 | ||||
| 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 |
|---|---|---|---|---|
| 1083612626 | Esmond Ka-wai Chan | Radiology | 1069 Los Palos Dr, Salinas, CA 93901 | 2005-07-08 |
| 1659630044 | Jacob Andrade | Radiology | 1069 Los Palos Dr, Salinas, CA 93901 | 2012-05-07 |
| 1578889820 | Kaveh Maghsoudi | Radiology | 1069 Los Palos Dr, Salinas, CA 93901-3916 | 2010-04-12 |
| 1871702233 | Kenneth Biehl | Radiology | 1069 Los Palos Dr, Salinas, CA 93901-3916 | 2007-05-22 |
| 1174552855 | Neil D. Rudo, M.d., A Professional Corporation | Radiology | 236 San Jose St, Salinas, CA 93901-3901 | 2006-07-03 |
| 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 | ||||
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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.