MEMORIAL RADIATION ONCOLOGY MEDICAL GROUP (NPI# 1801227285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801227285 |
| Entity Type | Organization |
| Organization Name | MEMORIAL RADIATION ONCOLOGY MEDICAL GROUP |
| Other Organization Name | SADDLEBACK RADIATION ONCOLOGY MEDICAL GROUP |
| Practice Address |
24953 Paseo De Valencia Laguna Hills CA 92653-4342 |
| Mailing Address |
2650 Elm Ave 201 Long Beach CA 90806-1651 |
| Practice Telephone | 5624926695 |
| Practice Fax Number | 5629880389 |
| Mailing Telephone | 5624926695 |
| Mailing Fax Number | 5629880389 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |
| Authorized Official Name | AJMEL PUTHAWALA (PARTNER) |
| Authorized Official Telephone | 5624926695 |
| 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 |
| Other Name | Type Code |
|---|---|
| saddleback radiation oncology medical group | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477984466 | Memorial Radiation Oncology Medical Group | Radiology | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2013-12-02 |
| 1639509706 | Memorial Radiation Oncology Medical Group | Radiology | 18111 Brookhurst St, Suite Ll0300, Fountain Valley, CA 92708-6728 | 2013-11-26 |
| Street Address |
24953 PASEO DE VALENCIA |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416410 | Inderpal Singh Gujral | Internal Medicine | 24953 Paseo De Valencia, 30 A, Laguna Hills, CA 92653-4342 | 2005-06-13 |
| 1093269763 | David Scot Zimmerman PC | Family Medicine | 24953 Paseo De Valencia, Ste 10-b, Laguna Hills, CA 92653-4342 | 2016-08-10 |
| 1235558974 | Donna Farris | Social Worker | 24953 Paseo De Valencia, Suite 10-c, Laguna Hills, CA 92653-4342 | 2014-04-09 |
| 1558797837 | Kimberly Sue Rice | Nurse Practitioner | 24953 Paseo De Valencia, Suite 5a, Laguna Hills, CA 92653-4342 | 2013-09-18 |
| 1093012494 | Quoc L. Nguyen, D.d.s. A Professional Dental Corporation | Clinic/Center | 24953 Paseo De Valencia, Ste 1 C, Laguna Hills, CA 92653-4394 | 2011-02-21 |
| 1326359209 | Al-abdulla Dds Inc | Durable Medical Equipment & Medical Supplies | 24953 Paseo De Valencia, 26b, Laguna Hills, CA 92653-4342 | 2010-06-25 |
| 1083945240 | Saddleback Medical Arts Pharmacy Inc | Pharmacy | 24953 Paseo De Valencia, #17-b, Laguna Hills, CA 92653-4342 | 2010-01-27 |
| 1902135940 | David B. Okun M.d. Inc. | Internal Medicine | 24953 Paseo De Valencia, #25 B, Laguna Hills, CA 92653-4342 | 2009-12-22 |
| 1417286980 | Brian I. Watanabe, M.d., Inc. | Surgery | 24953 Paseo De Valencia, Suite 15c, Laguna Hills, CA 92653-4342 | 2009-12-13 |
| 1568690386 | O. Frangopol, Dds, A Professional Dental Corp | Dentist | 24953 Paseo De Valencia, Suite 3c, Laguna Hills, CA 92653-4342 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| 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 |
|---|---|---|---|---|
| 1306267380 | Memorial Radiation Oncology Medical Grouop | Radiology | 24302 Paseo De Valencia, Laguna Hills, CA 92653-3115 | 2013-12-18 |
| 1194736710 | Joel M Cherlow | Radiology | 24953 Paseo De Valencia, Suite B1, Laguna Hills, CA 92653-4342 | 2006-08-10 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on MEMORIAL RADIATION ONCOLOGY MEDICAL GROUP.
| 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.