DR. CINDERELLA CHAVEZ RADU (NPI# 1952547440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952547440 |
Entity Type | Individual |
Full Name | DR. CINDERELLA CHAVEZ RADU |
Credential | MD |
Practice Address |
399 E Highland Ave Suite 201 San Bernardino CA 92404-3808 |
Practice Telephone | 9098861900 |
Practice Fax Number | 9098861910 |
Mailing Telephone | 9098861900 |
Mailing Fax Number | 9098861910 |
Enumeration Date | 2009-01-05 |
Last Update Date | 2017-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
C145467 | CA | Allopathic & Osteopathic Physicians |
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
04-35696 | KS | Allopathic & Osteopathic Physicians |
N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
04-35696 | KS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | MEDICARE PTAN | 016701009 | 01 |
KS | 200966240 | 05 | |
OK | 200485260A | 05 |
Street Address |
399 E HIGHLAND AVE SUITE 201 |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92404-3808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841292935 | William W Goral | Otolaryngology | 399 E Highland Ave, Ste 503, San Bernardino, CA 92404-3873 | 2005-06-02 |
1831650563 | Dawn M. Terashita, PC | Preventive Medicine | 399 E Highland Ave, Suite 117, San Bernardino, CA 92404-3808 | 2019-03-26 |
1114378171 | Thomas Sin Young Chung | Nurse Practitioner | 399 E Highland Ave, Suite 307, San Bernardino, CA 92404-3808 | 2016-06-30 |
1972960714 | Robert Williamsen | Pharmacist | 399 E Highland Ave, Ste 103, San Bernardino, CA 92404-3808 | 2016-01-25 |
1649698812 | Victoria Kachaturian | Registered Nurse | 399 E Highland Ave, Suite 324, San Bernardino, CA 92404-3808 | 2014-04-03 |
1386061364 | Apex Pediatrics, Inc | Clinical Nurse Specialist | 399 E Highland Ave, Suite 329, San Bernardino, CA 92404-3808 | 2014-03-27 |
1205262706 | Nadia M Nemeh | Dietitian, Registered | 399 E Highland Ave, Ste 427, San Bernardino, CA 92404-3808 | 2013-09-17 |
1093088064 | Nancy Samudio Md & Philis D Ransom Md, Inc, A Professional Medical Cor | Obstetrics & Gynecology | 399 E Highland Ave, Suite 516, San Bernardino, CA 92404-3808 | 2012-02-21 |
1487961421 | Pro Office Inc | General Practice | 399 E Highland Ave, 309, San Bernardino, CA 92404-3808 | 2010-09-13 |
1700103561 | Inland Empire Medical Network | Internal Medicine | 399 E Highland Ave, Suite 110, San Bernardino, CA 92404-3808 | 2010-05-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346553187 | Susmita Sakruti | Internal Medicine | 399 E Highland Ave Ste 501, San Bernardino, CA 92404-3879 | 2010-07-21 |
1255314977 | Rajiv Malik | Internal Medicine | 401 E Highland Ave Ste C, San Bernardino, CA 92404-3834 | 2005-11-28 |
1548752371 | Ming-swang Lok | Internal Medicine | 399 E Highland Ave Ste 501, San Bernardino, CA 92404-3879 | 2018-06-06 |
1285991349 | Vinod K. Kaura, M D A Professional Corp | Internal Medicine | 1800 Western Ave, Suite 303, San Bernardino, CA 92411-1356 | 2012-04-13 |
1467437848 | Inland Hematology-oncology Medical Group Inc | Internal Medicine | 401 E Highland Ave Ste C, San Bernardino, CA 92404-3834 | 2005-12-08 |
1659355691 | Dennis A Hilliard | Internal Medicine | 401 E Highland Ave, C, San Bernardino, CA 92404-3803 | 2005-12-02 |
1164405882 | Samir Kubba | Internal Medicine | 401 E Highland Ave Ste C, San Bernardino, CA 92404-3834 | 2005-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750999140 | Kamalesh K Sankhala Md Inc | Internal Medicine | 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 | 2020-07-21 |
1396365144 | Collin Vu Md, Inc. | Internal Medicine | 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 | 2020-04-22 |
1720626757 | Fenix Health Medical Oncology Group PC | Internal Medicine | 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 | 2019-12-20 |
1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
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City | SAN BERNARDINO |
Zip Code | 92404 |
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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.