COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC.


Address: 2230 Lynn Rd, Suite 103, Thousand Oaks, CA 91360-1901
Phone: 8054964111

COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. (NPI# 1811927999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811927999
Entity Type Organization
Organization Name COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC.
Other Organization Name NORTH OAKS RADIATION ONCOLOGY MEDICAL CENTER, INC.
Practice Address 2230 Lynn Rd
Suite 103
Thousand Oaks
CA 91360-1901
Mailing Address Dept. 9697
Los Angeles
CA 90084-9697
Practice Telephone 8054964111
Practice Fax Number 8054962861
Mailing Telephone 9497216520
Mailing Fax Number 9497216120
Enumeration Date 2006-07-04
Last Update Date 2008-01-29
Authorized Official Name DR. JONATHAN R STELLA (PRESIDENT)
Authorized Official Telephone 8055411932
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA ZZZ83011Z 05

Other Provider/Organization Names

Other Name Type Code
North Oaks Radiation Oncology Medical Center, Inc. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093749129 Coastal Radiation Oncology Medical Group, Inc. Radiology 1325 E Church St Ste 101, Santa Maria, CA 93454-5915 2006-07-11
1932131158 Coastal Radiation Oncology Medical Group, Inc. Radiology 2985 Sycamore Dr, Simi Valley, CA 93065-1201 2006-07-07
1730111931 Coastal Radiation Oncology Medical Group, Inc. Radiology 100 Casa St, Suite C, San Luis Obispo, CA 93405-1883 2006-07-07
1699707885 Coastal Radiation Oncology Medical Group, Inc. Radiology 1069 Los Palos Dr, Salinas, CA 93901-3916 2006-07-07
1972535359 Coastal Radiation Oncology Medical Group, Inc. Radiology 274 Heather Ct, Templeton, CA 93465-9738 2006-07-07
1922038173 Coastal Radiation Oncology Medical Group, Inc. Radiology 100 Casa St, Suite C, San Luis Obispo, CA 93405-1883 2006-07-04
1922038009 Coastal Radiation Oncology Medical Group, Inc. Radiology 2900 Loma Vista Rd, 100, Ventura, CA 93003-2920 2006-07-04
1083644165 Coastal Radiation Oncology Medical Group, Inc. Radiology 1240 S Westlake Blvd, Suite 103, Westlake Village, CA 91361-1929 2006-07-04

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC., 1069 Los Palos Dr, Salinas, CA 93901-3916

Office Location

Street Address 2230 LYNN RD
SUITE 103
City THOUSAND OAKS
State CA
Zip Code 91360-1901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225031784 Sherif Gabriel Henein Internal Medicine 2230 Lynn Rd, Ste 230, Thousand Oaks, CA 91360-1901 2005-05-27
1225443518 Arroyo Oaks Medical Group Non-Pharmacy Dispensing Site 2230 Lynn Rd, Suite 200, Thousand Oaks, CA 91360-1901 2014-06-25
1043631419 Miramar Lynn Medical Group Inc Ophthalmology 2230 Lynn Rd, Ste 102, Thousand Oaks, CA 91360-1901 2014-01-02
1003135799 Steven A Kind M.d., Medical Corporation Specialist 2230 Lynn Rd, 330, Thousand Oaks, CA 91360-1901 2010-05-20
1821310939 Hosein T. Afshar, M.d., A Medical Corp. Internal Medicine 2230 Lynn Rd, Suite 210, Thousand Oaks, CA 91360-1901 2010-02-17
1831428861 Oak Tree Surgical Center LLC Clinic/Center 2230 Lynn Rd, Suite 320, Thousand Oaks, CA 91360-1901 2009-12-22
1851523617 Athletic Physical Therapy Physical Therapist 2230 Lynn Rd, Suite 250, Thousand Oaks, CA 91360-1901 2009-08-12
1396984654 Amuzie Medical Corp Specialist 2230 Lynn Rd, Suite 310, Thousand Oaks, CA 91360-1901 2009-02-10
1851552392 Sonia Monga Internal Medicine 2230 Lynn Rd, Suite 200, Thousand Oaks, CA 91360-1901 2008-06-18
1285894949 Lawrence M Hwang Family Medicine 2230 Lynn Rd, Suite 200, Thousand Oaks, CA 91360-1901 2008-06-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124633953 Rhandi Walters Marriage & Family Therapist 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 2020-09-09
1942709837 Stephanie Renee Neri Behavior Technician 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 2018-02-06
1104340652 Fernando Antonio Castaneda Student in an Organized Health Care Education/Training Program 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 2017-07-26
1023548989 Anna Garduno Specialist/Technologist 3680 Campus Drive, Thousand Oaks, CA 91360 2017-06-14
1467996306 Ava Shokoufi Marriage & Family Therapist 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 2016-12-12
1649621517 Sandy Lynn Mcglynn Social Worker 460 East Gainsborough Road, Thousand Oaks, CA 91360 2016-06-22
1316363476 Lorraine Jordan Family Medicine 1331 Witherspoon Dr, Thousand Oaks, CA 91360 2014-03-13
1841612033 Katherine Snyder Counselor 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 2014-01-08
1235567397 Christine Maria Katzenmaier Speech-Language Pathologist 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 2013-10-28
1912335233 Lena Ameripour Behavioral Analyst 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 2013-10-23
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225370232 Steven Lau Radiology 2230 Lynn Rd Ste 103, Thousand Oaks, CA 91360 2013-03-18
1982197562 Robert D Hesselgesser A Professional Medical Corporation Radiology 2200 Lynn Rd, Thousand Oaks, CA 91360-2071 2018-06-08
1992797526 Paul J Miller Radiology 2230 Lynn Rd, Suite 103, Thousand Oaks, CA 91360-1901 2005-08-19

Providers in the same taxonomy and state

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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Competitor

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City THOUSAND OAKS
Zip Code 91360

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Dataset Information

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.

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