CYBERKNIFE OF SOUTHERN CALIFORNIA AT VISTA (NPI# 1245415538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245415538 |
Entity Type | Organization |
Organization Name | CYBERKNIFE OF SOUTHERN CALIFORNIA AT VISTA |
Practice Address |
902 Sycamore Ave Suite 100 Vista CA 92081-7879 |
Practice Telephone | 7605999545 |
Practice Fax Number | 7605999549 |
Mailing Telephone | 7605999545 |
Mailing Fax Number | 7605999549 |
Enumeration Date | 2008-01-04 |
Last Update Date | 2008-01-04 |
Authorized Official Name | ELIZABETH N BOURBEAU (MANAGER) |
Authorized Official Telephone | 7605999545 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
Street Address |
902 SYCAMORE AVE SUITE 100 |
City | VISTA |
State | CA |
Zip Code | 92081-7879 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740471234 | Robert D. Olson Integrative Chiropractic Inc | Physical Therapist | 902 Sycamore Ave, Suite 201, Vista, CA 92081-7815 | 2007-08-08 |
1376794099 | Heather Shott | Chiropractor | 902 Sycamore Ave, Suite 201, Vista, CA 92081-7879 | 2008-10-01 |
1154580348 | Tri-city Petct LLC | Clinic/Center | 902 Sycamore Ave, Vista, CA 92081 | 2008-06-03 |
1306013636 | Mario M Mancusi | Physical Therapist | 902 Sycamore Ave, Suite 201, Vista, CA 92081-7879 | 2008-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548896202 | Maritza Mercado | Behavior Technician | 1926 Civic Center Dr Suite B, Vista, CA 92081 | 2020-03-13 |
1417599267 | Cherelle Artise Lewis | Behavior Technician | 1926 Via Centre Drive, Suite B, Vista, CA 92081 | 2019-10-14 |
1194101295 | Mary Stewart | Physical Therapist | 1515 S Melrose Dr, Vista, CA 92081 | 2015-07-31 |
1184069122 | Houri Fatourachi, Dds Inc | Dentist | 2325 S Melrose Dr., Vista, CA 92081 | 2013-05-03 |
1821377037 | Mori Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2320 La Mirada Dr, Vista, CA 92081 | 2011-08-05 |
1497068563 | Gerald Francis Moore | Dentist | 610 S. Melrose Dr, Vista, CA 92081 | 2010-07-19 |
1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
1760650808 | Edward George Dougherty | Occupational Therapy Assistant | 1579 Wellington Lane, 51, Vista, CA 92081 | 2008-02-12 |
1831398676 | Longs Drug Stores California LLC | Pharmacy | 635 S Melrose Dr, Vista, CA 92081 | 2007-07-12 |
1346462231 | Houri Fatourachi | Dentist | 2325 South Melrose Drive, Vista, CA 92081 | 2007-05-02 |
Find all providers in zip 92081 |
Taxonomy Code | 261QX0203X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oncology, Radiation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265509657 | Oncology Therapies of Vista Medical Group, Inc | Clinic/Center | 916 Sycamore Ave, Vista, CA 92081-7815 | 2006-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124638820 | John Robin Rice | Clinic/Center | 7463 Draper Ave, La Jolla, CA 92037-5026 | 2020-08-06 |
1164951299 | F.h.ploch, Md,inc | Clinic/Center | 1020 Nut Tree Rd Ste 190, Vacaville, CA 95687-4100 | 2017-06-12 |
1326485301 | Michael Richard Kadin | Clinic/Center | 885 S. Orange Grove Glvd, Unit 36, Pasadena, CA 91105-1729 | 2013-05-30 |
1760681936 | South Bay Cancer Center | Clinic/Center | 14608 Hawthorne Boulevard, Lawndale, CA 90260-1521 | 2007-07-17 |
1063573921 | Advanced Radiation Oncology Center | Clinic/Center | 1115 #b Los Palos Drive, Salinas, CA 93901-3888 | 2006-12-13 |
1336752039 | Radiation Oncology Network of Southern California | Clinic/Center | 1410 S La Brucherie Rd Ste B, El Centro, CA 92243-9676 | 2020-08-24 |
1396242673 | Adventist Health Physicians Network | Clinic/Center | 10 Woodland Rd, Saint Helena, CA 94574-9554 | 2018-04-12 |
1346638327 | Advanced Thermal Associates A Professional Corporation | Clinic/Center | 2811 Wilshire Blvd, Suite 860, Santa Monica, CA 90403-4803 | 2014-12-29 |
1780072710 | Integrative Oncology | Clinic/Center | 2811 Wilshire Blvd, Suite 860, Santa Monica, CA 90403-4803 | 2014-12-29 |
1811396591 | The Center for Thermal Oncology LLC | Clinic/Center | 2001 Santa Monica Blvd, Suite 1190, Santa Monica, CA 90404-2133 | 2014-08-19 |
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.