Active NPI
Rotating Gamma Institute Orange
- Radiation Oncology Clinic/Center
- Anaheim, CA
National Provider Identifier
1073754255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Clinic/Center
- License
- 7677-30
- Legal business name
- ROTATING GAMMA INSTITUTE ORANGE
- Practice address
- 3400 W Ball Rd
Ste 101
Anaheim, CA 92804-3738 - Phone
- (714) 816-8705
- NPI assigned
- Mar 17, 2009
- 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
- Mr. John P Clark
- Title
- President
- Phone
- (714) 816-8705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Clinic/Center | 261QX0203X | 7677-30 | CA | Primary |
Addresses
Primary practice location
3400 W Ball Rd
Ste 101
Anaheim, CA 92804-3738
Mailing address
3400 W. Ball Road
Suite 101
Anaheim, CA 92804-3738
Phone (714) 816-8705
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Los Angeles, CA
- NPI 1083698237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274313600000",
"number": "1073754255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 W. BALL ROAD",
"address_2": "SUITE 101",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043738",
"telephone_number": "714-816-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 W BALL RD",
"address_2": "STE 101",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043738",
"telephone_number": "714-816-8705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROTATING GAMMA INSTITUTE ORANGE",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-17",
"last_updated": "2010-05-20",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-816-8705",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QX0203X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology, Radiation",
"state": "CA",
"license": "7677-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.