Uscc Aquisition Corp

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

G61579 Issued in CA

Legal business name

USCC AQUISITION CORP

Practice address

Dept 9536
Los Angeles, CA 90084-9536

Phone

(949) 721-6521

NPI assigned

Nov 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary S. Young, MD

Title

Director

Phone

(949) 721-6521

Specialties & licenses 1

Addresses

Other names 1

• Sonora Regional Radiation Oncology Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043399397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GREENLEY RD",
            "address_2": "SUITE 901",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705287",
            "telephone_number": "949-721-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT 9536",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900849536",
            "telephone_number": "949-721-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCC AQUISITION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-721-6521",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G61579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonora Regional Radiation Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Fallyne Usher
• Wenonah Linette Usher, M.D.

• All providers in Los Angeles, CA
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.