Case H Ketting (NPI# 1033193297, PAC ID# 7719938950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1033193297 |
| PAC ID by PECOS | 7719938950 |
| Professional Enrollment ID | I20050204000792 |
| Full Name | Case H Ketting |
| Organization Legal Name | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| Address |
100 Casa St C San Luis Obispo CA 93405-8804 |
| Phone Number | 8055411932 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | 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 |
| Address | Phone | Organization |
|---|---|---|
| 1213 E Ocean Ave, Suite 100, Lompoc, CA 93436-7047 | 8059252529 | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| 100 Casa St C, San Luis Obispo, CA 93405-8804 | 8055411932 | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| 1325 E Church St, Suite 101, Santa Maria, CA 93454-5915 | 8059252529 | 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 |
| Patrick A Williams | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 1213 E Ocean Ave, Suite 100, Lompoc, CA 93436-7047 |
| 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 |
| 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 |
100 CASA ST C |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip | 93405-8804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| 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 |
| Jeffrey Rodnick | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Lauren Tait | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William F D Ambruoso | Internal Medicine | 179 Twin Ridge Rd, San Luis Obispo, CA 93405 | |
| Amanda Michelle Parreira | Optometry | 894 Meinecke Ave A, San Luis Obispo, CA 93405-1790 | |
| Tyrone G Mcsorley | Physical Therapy | 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791 | |
| Julie L Mcsorley | Physical Therapy | 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791 | |
| Harold D Segal | Neurosurgery | 140 Casa St, San Luis Obispo, CA 93405-1804 | |
| Gayle S Cekada | Internal Medicine | 184 Casa St, San Luis Obispo, CA 93405-1804 | |
| Stephen A Hilty | Internal Medicine | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Eric W Dunlop | General Practice | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Ginger Christianne Cochran | Registered Dietitian Or Nutrition Professional | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Kristina N Dilworth | Nurse Practitioner | First Choice Physician Partners | 1064 Murray Ave, San Luis Obispo, CA 93405-1806 |
| Find all physicians in zip 93405 | |||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SAN LUIS OBISPO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Case H Ketting.
| 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.