TEMECULA VALLEY RADIATION ONCOLOGY MED GROUP (NPI# 1326113747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326113747 |
| Entity Type | Organization |
| Organization Name | TEMECULA VALLEY RADIATION ONCOLOGY MED GROUP |
| Practice Address |
36320 Inland Valley Dr Suite 105 Wildomar CA 92595-7512 |
| Practice Telephone | 9512006875 |
| Practice Fax Number | 9512006877 |
| Mailing Telephone | 9512006875 |
| Mailing Fax Number | 9512006877 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2014-08-25 |
| Authorized Official Name | DR. FESTUS B DADA (OWNER/DIRECTOR) |
| Authorized Official Telephone | 9512006875 |
| Authorized Official Credential | M.D. |
| 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 | 00C503630 | 05 |
| Street Address |
36320 INLAND VALLEY DR SUITE 105 |
| City | WILDOMAR |
| State | CA |
| Zip Code | 92595-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710985569 | Sabry E Bakr | Pediatrics | 36320 Inland Valley Dr, Suite 207, Wildomar, CA 92595-7512 | 2005-07-13 |
| 1144673526 | Murrieta Valley Surgery Center, Inc.a Professional Corporation | Clinic/Center | 36320 Inland Valley Dr, Suite 101, Wildomar, CA 92595-7512 | 2016-07-20 |
| 1851633788 | Valley Trauma Associates | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2013-03-18 |
| 1659636892 | Patricia Ann Ford | Dietitian, Registered | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2012-07-12 |
| 1760743454 | Murrieta Valley Surgery Associates Medical Group, Inc, Apc | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595 | 2012-05-30 |
| 1235435231 | Marcella Bonnici, M.d. Professional Corporation | Clinic/Center | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2011-02-08 |
| 1104146968 | Michael L Cross Md, A Professional | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2010-06-03 |
| 1437326410 | Shankha Nandi | Internal Medicine | 36320 Inland Valley Dr, Suite 308, Wildomar, CA 92595-7512 | 2008-05-09 |
| 1235267584 | Paul K Wielenga | Nurse Practitioner | 36320 Inland Valley Dr, #308, Wildomar, CA 92595-7512 | 2007-03-01 |
| 1639248875 | Leon C Hsu | Pediatrics | 36320 Inland Valley Dr, Suite 208, Wildomar, CA 92595-9547 | 2006-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
| 1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
| 1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
| 1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
| 1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
| 1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
| 1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
| 1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
| 1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
| 1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
| Find all providers in zip 92595 | ||||
| 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 |
|---|---|---|---|---|
| 1902955818 | James Michael Mason | Radiology | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
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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.