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).
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 |
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 | ZZZ83011Z | 05 |
Other Name | Type Code |
---|---|
North Oaks Radiation Oncology Medical Center, Inc. | Doing Business As Name - Organization |
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 |
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 |
Street Address |
2230 LYNN RD SUITE 103 |
City | THOUSAND OAKS |
State | CA |
Zip Code | 91360-1901 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 91360 |
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 |
---|---|---|---|---|
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 |
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 | THOUSAND OAKS |
Zip Code | 91360 |
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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.