Vincent Massullo (NPI# 1730170143, PAC ID# 3870598253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1730170143 |
| PAC ID by PECOS | 3870598253 |
| Professional Enrollment ID | I20081122000159 |
| Full Name | Vincent Massullo |
| Organization Legal Name | BAY AREA THERAPEUTIC RADIOLOGY AND ONCOLOGY ASSOC MED GRP INC |
| Address |
2540 E St Concord CA 94520-1906 |
| Phone Number | 9256742521 |
| Gender | M |
| Medical School | MAYO MEDICAL SCHOOL |
| Graduation Year | 1980 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 3779538053 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050180 | JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS |
| 050496 | JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 2540 E St, Concord, CA 94520-1906 | 9256742521 | BAY AREA THERAPEUTIC RADIOLOGY AND ONCOLOGY ASSOC MED GRP INC |
| 115 La Casa Via, Suite 102, Walnut Creek, CA 94598-3022 | 9259309744 | BAY AREA THERAPEUTIC RADIOLOGY AND ONCOLOGY ASSOC MED GRP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | BAY AREA THERAPEUTIC RADIOLOGY AND ONCOLOGY ASSOC MED GRP INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marjaneh Moini | Radiation Oncology | Bay Area Therapeutic Radiology and Oncology Assoc Med Grp Inc | 2540 E St, Concord, CA 94520-1906 |
| Daniel M Chinn | Radiation Oncology | Bay Area Therapeutic Radiology and Oncology Assoc Med Grp Inc | 2540 E St, Concord, CA 94520-1906 |
| Richard J Carmel | Radiation Oncology | Bay Area Therapeutic Radiology and Oncology Assoc Med Grp Inc | 115 La Casa Via, Suite 102, Walnut Creek, CA 94598-3022 |
| Michael L Levine | Radiation Oncology | Bay Area Therapeutic Radiology and Oncology Assoc Med Grp Inc | 2540 E St, Concord, CA 94520-1906 |
| Street Address |
2540 E ST |
| City | CONCORD |
| State | CA |
| Zip | 94520-1906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antonio D Muto Isolani | Emergency Medicine | Cep America - California | 2540 E St, Concord, CA 94520-1906 |
| Marjaneh Moini | Radiation Oncology | Bay Area Therapeutic Radiology and Oncology Assoc Med Grp Inc | 2540 E St, Concord, CA 94520-1906 |
| Catherine M Hurt | Emergency Medicine | Cep America - California | 2540 E St, Concord, CA 94520-1906 |
| Daniel M Chinn | Radiation Oncology | Bay Area Therapeutic Radiology and Oncology Assoc Med Grp Inc | 2540 E St, Concord, CA 94520-1906 |
| Kevin K Tao | Emergency Medicine | Cep America - California | 2540 E St, Concord, CA 94520-1906 |
| David F Soohoo | Emergency Medicine | Cep America - California | 2540 E St, Concord, CA 94520-1906 |
| Arieh Kestler | Emergency Medicine | Cep America - California | 2540 E St, Concord, CA 94520-1906 |
| Shao I Huang | Emergency Medicine | Cep America - California | 2540 E St, Concord, CA 94520-1906 |
| Todd A Kessinger | Emergency Medicine | Cep America - California | 2540 E St, Concord, CA 94520-1906 |
| Bradford T Tinloy | Emergency Medicine | Cep America - California | 2540 E St, Concord, CA 94520-1906 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Santi Rao | Orthopedic Surgery | 2291 Pacheco Rd, Concord, CA 94520 | |
| Olukemi A Kuku-ojo | Nurse Practitioner | Cep America - Psychiatry PC | 4080 Port Chicago Hwy, Concord, CA 94520-1121 |
| Glicelda Velasco | Nurse Practitioner | Cep America - Psychiatry PC | 4080 Port Chicago Hwy, Concord, CA 94520-1121 |
| Lauren Enteen | Nurse Practitioner | Cep America - Psychiatry PC | 4080 Port Chicago Hwy, Concord, CA 94520-1121 |
| Rebecca M Akolo | Podiatry | 3592 Cranbrook Way, Concord, CA 94520-1533 | |
| Biqi Gao | Family Medicine | 2485 High School Ave, Suite 123, Concord, CA 94520-1812 | |
| Bruce F Paterson | Allergy/immunology | 2485 High School Ave, Suite 127, Concord, CA 94520-1812 | |
| Frank S Tzeng | Endocrinology | 2485 High School Ave, Suite 123, Concord, CA 94520-1812 | |
| Colleen M Kenney | Podiatry | 2485 High School Ave, Suite 222, Concord, CA 94520-1813 | |
| Mary K Cardoza | General Surgery | Bay Area Surgical Specialists Inc A Medical Corporation | 2485 High School Ave, Suite 222, Concord, CA 94520-1813 |
| Find all physicians in zip 94520 | |||
| City | CONCORD |
| Zip Code | 94520 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | CONCORD + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Vincent Massullo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.