X-RAY MEDICAL GROUP RADIATION ONCOLOGY INC (NPI# 1790724565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790724565 |
Entity Type | Organization |
Organization Name | X-RAY MEDICAL GROUP RADIATION ONCOLOGY INC |
Practice Address |
3075 Health Center Drive Level 0 San Diego CA 92123 |
Mailing Address |
5725 Kearny Villa Rd Ste I San Diego CA 92123-1134 |
Practice Telephone | 8589395010 |
Practice Fax Number | 8589395021 |
Mailing Telephone | 8582560351 |
Mailing Fax Number | 8582560355 |
Enumeration Date | 2006-06-06 |
Last Update Date | 2020-02-11 |
Authorized Official Name | KENA D GALVAN (ADMINISTRATOR) |
Authorized Official Telephone | 8582560351 |
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 | GR0087890 | 05 | |
CA | GR0087893 | 05 | |
CA | GR0087891 | 05 | |
CA | RR MEDICARE | CJ8070 | 01 |
CA | GR0087892 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
5555 Grossmont Center Dr, La Mesa, CA 919423019 | 6196444500 | 6196444547 |
Street Address |
3075 HEALTH CENTER DRIVE LEVEL 0 |
City | SAN DIEGO |
State | CA |
Zip Code | 92123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720314107 | Siavash Jabbari | Radiology | 3075 Health Center Drive, Level 0, San Diego, CA 92123 | 2009-10-20 |
1912232513 | Sunanda M Pejavar | Radiology | 3075 Health Center Drive, Level 0, San Diego, CA 92123 | 2009-10-15 |
1346285970 | Sharp and Children's Mri Center LLC | Clinic/Center | 3075 Health Center Drive, San Diego, CA 92123 | 2006-06-18 |
1841233947 | Geoffrey D Weinstein | Specialist | 3075 Health Center Drive, Level 0, San Diego, CA 92123 | 2006-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
Find all providers in zip 92123 |
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 |
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 |
1093240285 | Proton Doctors Professional Corporation | Radiology | 9730 Summers Ridge Rd, San Diego, CA 92121-3101 | 2017-04-25 |
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.