Coastal Radiation Oncology Medical Group, Inc.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC.

Doing business as

Westlake Radiation Oncology Medical Center, Inc.

Practice address

1240 S Westlake Blvd
Suite 103
Westlake Village, CA 91361-1929

Phone

(805) 494-4483

Fax

(805) 494-9555

NPI assigned

Jul 4, 2006

Last updated

Jan 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan R Stella, M.D.NPI 1790787141

Title

President

Phone

(805) 541-1932

Specialties & licenses 1

Addresses

Other names 1

• Westlake Radiation Oncology Medical Center, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Coastal Radiation Oncology Medical Group Inc

  • Radiation Oncology Physician
  • Ventura, CA
  • NPI 1922038009

  O20060501000763

  Same enrollment
• Coastal Radiation Oncology Medical Group Inc

  • Radiation Oncology Physician
  • Lompoc, CA
  • NPI 1922038173

  O20060501000763

  Same enrollment
• Coastal Radiation Oncology Medical Group, Inc.

  dba North Oaks Radiation Oncology Medical Center, Inc.

  • Radiation Oncology Physician
  • Thousand Oaks, CA
  • NPI 1811927999

  O20060501000763

  Same enrollment
• Coastal Radiation Oncology Medical Group, Inc.

  • Radiation Oncology Physician
  • Simi Valley, CA
  • NPI 1932131158

  O20060501000763

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan R Stella, MD

  • Radiation Oncology Physician
  • San Luis Obispo, CA
  • NPI 1790787141
  Authorized official Same address or phone

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1083644165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. 9697",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900849697",
            "telephone_number": "949-721-6520",
            "fax_number": "949-721-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S WESTLAKE BLVD",
            "address_2": "SUITE 103",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611929",
            "telephone_number": "805-494-4483",
            "fax_number": "805-494-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "STELLA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-541-1932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Radiation Oncology Medical Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clear Ketamine Plus Psychiatry
• Cleverly Inc.
• Tiera Click
• Clifford L Fine MD Prof Corp
• Shaela Violet Cloud
• Rachel Jean Coates-Campbell, LCSW
• Michael Cobin
• Coddington Chiropractic Corp. (Rx Bodyworks)
• Amanda Coddington, D.C, L.AC
• Jessica Coffman, RDH, BS

• Radiation Oncology Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.