THERAPEUTIC RADIOLOGY MEDICAL ASSOCIATES, INC


Address: 1700 Coffee Rd, Department of Radiation Oncology, Modesto, CA 95355-2803
Phone: 2095727237

THERAPEUTIC RADIOLOGY MEDICAL ASSOCIATES, INC (NPI# 1831129543) 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) 1831129543
Entity Type Organization
Organization Name THERAPEUTIC RADIOLOGY MEDICAL ASSOCIATES, INC
Practice Address 1700 Coffee Rd
Department of Radiation Oncology
Modesto
CA 95355-2803
Practice Telephone 2095727237
Practice Fax Number 2095265280
Mailing Telephone 2095727237
Mailing Fax Number 2095265280
Enumeration Date 2006-07-05
Last Update Date 2020-08-22
Authorized Official Name DR. MANOUCH AZAD (MEDICAL DIRECTOR)
Authorized Official Telephone 2095727237
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 GR0078260 05

Office Location

Street Address 1700 COFFEE RD
DEPARTMENT OF RADIATION ONCOLOGY
City MODESTO
State CA
Zip Code 95355-2803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629059746 Sutter Central Valley Hospitals Clinical Medical Laboratory 1700 Coffee Rd, Modesto, CA 95355-2803 2005-11-07
1356962732 Nicole Laura Physical Therapist 1700 Coffee Rd, Modesto, CA 95355-2803 2020-04-27
1275153314 Christopher Lucas Pharmacist 1700 Coffee Rd, Modesto, CA 95355-2803 2020-04-18
1366077323 Nicole Kathleen Boere Nurse Practitioner 1700 Coffee Rd, Modesto, CA 95355-2803 2020-03-10
1235770165 P. Curly Johnson Nurse Practitioner 1700 Coffee Rd, Modesto, CA 95355-2803 2019-10-02
1932758596 Samantha Megan Allen Nurse Practitioner 1700 Coffee Rd, Modesto, CA 95355-2803 2019-09-06
1215592324 Brittany Henson Physical Therapist 1700 Coffee Rd, Modesto, CA 95355-2803 2019-05-03
1306317987 Jacob John Verhoeven Physician Assistant 1700 Coffee Rd, Modesto, CA 95355-2803 2018-12-08
1164992277 Jessica Chan Physician Assistant 1700 Coffee Rd, Modesto, CA 95355-2803 2018-12-01
1851875397 John Paul Blanchard Nurse Practitioner 1700 Coffee Rd, Modesto, CA 95355-2803 2018-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982211793 I To I LLC Optometrist 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 2020-09-25
1205443116 Altwal and Shelat Dds Inc Dentist 1317 Oakdale Road, Suite 310, Modesto, CA 95355 2020-09-24
1184255911 Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation Clinic/Center 3401 Oakdale Road, Suite 505, Modesto, CA 95355 2020-01-30
1487133856 Natalie Vargas Behavior Technician 1317 Oakdale Road Suite 610, Modesto, CA 95355 2018-08-07
1871079152 Jill H Fusia Dietitian, Registered 1404 Cordero Court, Modesto, CA 95355 2018-07-19
1043727514 Emily Lauren Schaefer Behavioral Analyst 3425 Coffee Rd Ste C2, Modesto, CA 95355 2018-01-05
1376083691 Hari Gnanasekeram, PC Technician, Cardiology 1303 Mable Avenu, Modesto, CA 95355 2017-03-06
1598139891 Encompass Health Rehabilitation Hospital of Modesto, LLC Rehabilitation Hospital 1303 Mable Avenue, Modesto, CA 95355 2015-11-24
1013387844 Diana Faith Kigenyi Social Worker 1225 Oakdale Road, Modesto, CA 95355 2015-10-06
1437530672 Tzu Yi Wei Acupuncturist 2209 Coffee Road, Suite A, Modesto, CA 95355 2015-06-12
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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
1902880818 David N Lowther Radiology 1316 Nelson Ave, Contracting and Credentialing Dept, Modesto, CA 95350-5341 2005-12-05
1689123879 Alireza Fotouhi Ghiam Radiology 1316 Nelson Ave, Modesto, CA 95350-5341 2016-09-28
1447696745 Vatsal Patel Radiology 1316 Nelson Ave, Modesto, CA 95350-5341 2013-05-14
1720150816 Prigge Radiation Oncoology Medical Group Radiology 1316 Nelson Ave, Modesto, CA 95350-5341 2006-11-14
1881624583 21st Century Oncology of California, A Medical Corporation Radiology 1316 Nelson Ave, Modesto, CA 95350-5341 2006-07-05
1063467033 Peter K. Sien, Md, Inc. Radiology 1316 Nelson Ave, Modesto, CA 95350-5341 2006-05-24
1790743136 Christopher Robert Neville Radiology 1700 Coffee Rd, Department of Radiation Oncology, Modesto, CA 95355-2803 2006-05-03
1376508044 Manouchehr Azad Radiology 1700 Coffee Rd, Department of Radiation Oncology, Modesto, CA 95355-2803 2006-04-18
1902860802 Jorge Alejandro Garcia-young IIi Radiology 1700 Coffee Rd, Department of Radiation Oncology, Modesto, CA 95355-2803 2006-04-17

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 MODESTO
Zip Code 95355

Improve Information

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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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