Patrick A Williams (NPI# 1164828869, PAC ID# 6709133085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1164828869 |
| PAC ID by PECOS | 6709133085 |
| Professional Enrollment ID | I20180717004273 |
| Full Name | Patrick A Williams |
| Organization Legal Name | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| Address |
1213 E Ocean Ave Suite 100 Lompoc CA 93436-7047 |
| Phone Number | 8059252529 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 7214946201 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| 050110 | LOMPOC VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1213 E Ocean Ave, Suite 100, Lompoc, CA 93436-7047 | 8059252529 | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| 1069 Los Palos Dr, Salinas, CA 93901-3916 | 8317582724 | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| 1325 E Church St, Suite 301, Santa Maria, CA 93454-5915 | 8053499393 | CENTRAL COAST MEDICAL ONCOLOGY CORP |
| Organization Legal Name | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Lau | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 1240 Westlake Blvd, 103 Westlake Radiation Oncology Medical, Westlake Village, CA 91361-1929 |
| Thomas D Fogel | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 274 Heather Ct, Templeton, CA 93465-9738 |
| Paul J Miller | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 2985 N Sycamore Dr, Simi Valley Radiation Oncology Medi, Simi Valley, CA 93065-1201 |
| Case H Ketting | Diagnostic Radiology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Jeffrey K Wu | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Robert R Johnson | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Jacob Andrade | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 1240 Westlake Blvd, 103 Westlake Radiation Oncology Medical, Westlake Village, CA 91361-1929 |
| Jonathan A Abelson | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Jonathan R Stella | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Kenneth J Biehl | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 2230 Lynn Rd, Suite 103, Thousand Oaks, CA 91360-1963 |
| Street Address |
1213 E OCEAN AVE SUITE 100 |
| City | LOMPOC |
| State | CA |
| Zip | 93436-7047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily E Bertsch | Nurse Practitioner | Mid-county Hematology and Oncology, A Professional Medical Corporation | 1213 E Ocean Ave, Suite 102, Lompoc, CA 93436-7047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard I Weinstock | Otolaryngology | 3839 Constellation Rd, Suite A, Lompoc, CA 93436-0432 | |
| Charles E Smith | Psychologist, Clinical | 3839 Constellation Rd, Suite C, Lompoc, CA 93436-0434 | |
| Jeffrey L Danhauer | Qualified Audiologist | 3839 Constellation Rd, Suite D, Lompoc, CA 93436-0435 | |
| Heliodoro M Magana | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Igor Galan | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Jason Cord Williford | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Laura L Megorden | Podiatry | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Latavia S Esters | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Michael A Hoosier | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Janice L Anderson | Clinical Social Worker | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Find all physicians in zip 93436 | |||
| City | LOMPOC |
| Zip Code | 93436 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | LOMPOC + RADIATION ONCOLOGY |
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| 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.