Active NPI
Bay Area Therapeutic Radiology & Oncology Assoc Med GRP Inc
- Radiation Oncology Physician
- Concord, CA
National Provider Identifier
1013908425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- BAY AREA THERAPEUTIC RADIOLOGY & ONCOLOGY ASSOC MED GRP INC
- Practice address
- 2540 East St
Concord, CA 94520-1906 - Phone
- (209) 342-2300
- Fax
- (209) 524-4240
- NPI assigned
- Nov 3, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Lewis Levine, MD
- Title
- President
- Phone
- (209) 342-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
2540 East St
Concord, CA 94520-1906
Mailing address
4301 Northstar Way
Modesto, CA 95356-9262
Phone (209) 342-2300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0091351 | Medicaid | CA | |
| GR0091350 | Medicaid | CA | |
| ZZZ03055Z | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
115 La Casa Via
Walnut Creek, CA 94598
Phone (925) 993-9440
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1013908425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 NORTHSTAR WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569262",
"telephone_number": "209-342-2300",
"fax_number": "209-524-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 EAST ST",
"city": "CONCORD",
"state": "CA",
"postal_code": "945201906",
"telephone_number": "209-342-2300",
"fax_number": "209-524-4240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY AREA THERAPEUTIC RADIOLOGY & ONCOLOGY ASSOC MED GRP INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-03",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-342-2300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0091351",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0091350",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ03055Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
- Bay Alarm Medical LLC
- Bay Area Cardiology Medical Group
- Bay Area Community Services, Inc.
- Bay Area Foot Care, Inc.
- Bay Area Surgical Specialists
- Bay Area Therapy Group
- Bay Area Therapy Group a Marriage Family Counseling Corp
- Bay Imaging Consultants Medical Group Inc
- Bay Medic Transportation Inc.
- Bay Medic Transportation, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.