Organization Active NPI

Rotating Gamma Institute Orange

  • Radiation Oncology Clinic/Center
  • Anaheim, CA
National Provider Identifier
1073754255
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
7677-30 Issued in CA
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

Updated by the provider on May 20, 2010

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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

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": "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.

Verify at the official NPI Registry.