Jeffrey Rodnick (NPI# 1972595882, PAC ID# 0749299733) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1972595882 |
| PAC ID by PECOS | 0749299733 |
| Professional Enrollment ID | I20060502000848 |
| Full Name | Jeffrey Rodnick |
| Organization Legal Name | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| Address |
100 Casa St C San Luis Obispo CA 93405-8804 |
| Phone Number | 8055411932 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 7214946201 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050394 | COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA |
| Address | Phone | Organization |
|---|---|---|
| 100 Casa St C, San Luis Obispo, CA 93405-8804 | 8055411932 | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| 274 Heather Ct, Templeton, CA 93465-9738 | 8054341859 | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| Organization Legal Name | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Lau | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 1240 Westlake Blvd, 103 Westlake Radiation Oncology Medical, Westlake Village, CA 91361-1929 |
| Patrick A Williams | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 1213 E Ocean Ave, Suite 100, Lompoc, CA 93436-7047 |
| Thomas D Fogel | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 274 Heather Ct, Templeton, CA 93465-9738 |
| Paul J Miller | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 2985 N Sycamore Dr, Simi Valley Radiation Oncology Medi, Simi Valley, CA 93065-1201 |
| Case H Ketting | Diagnostic Radiology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Jeffrey K Wu | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Robert R Johnson | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Jacob Andrade | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 1240 Westlake Blvd, 103 Westlake Radiation Oncology Medical, Westlake Village, CA 91361-1929 |
| Jonathan A Abelson | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Jonathan R Stella | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Street Address |
100 CASA ST C |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip | 93405-8804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Case H Ketting | Diagnostic Radiology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Jeffrey K Wu | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Robert R Johnson | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Jonathan A Abelson | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Jonathan R Stella | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Lauren Tait | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William F D Ambruoso | Internal Medicine | 179 Twin Ridge Rd, San Luis Obispo, CA 93405 | |
| Amanda Michelle Parreira | Optometry | 894 Meinecke Ave A, San Luis Obispo, CA 93405-1790 | |
| Tyrone G Mcsorley | Physical Therapy | 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791 | |
| Julie L Mcsorley | Physical Therapy | 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791 | |
| Harold D Segal | Neurosurgery | 140 Casa St, San Luis Obispo, CA 93405-1804 | |
| Gayle S Cekada | Internal Medicine | 184 Casa St, San Luis Obispo, CA 93405-1804 | |
| Stephen A Hilty | Internal Medicine | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Eric W Dunlop | General Practice | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Ginger Christianne Cochran | Registered Dietitian Or Nutrition Professional | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Kristina N Dilworth | Nurse Practitioner | First Choice Physician Partners | 1064 Murray Ave, San Luis Obispo, CA 93405-1806 |
| Find all physicians in zip 93405 | |||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | SAN LUIS OBISPO + RADIATION ONCOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.