Proton Doctors Professional Corporation

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

PROTON DOCTORS PROFESSIONAL CORPORATION

Practice address

9730 Summers Ridge Rd
San Diego, CA 92121-3101

Phone

(858) 549-7400

NPI assigned

Apr 25, 2017

Last updated

Aug 21, 2017By 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

Andrew L Chang, M.D.NPI 1255513859

Title

President

Phone

(951) 533-4889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 21

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.

• Andrew Luke Chang, M.D.

  • Radiation Oncology Physician
  • San Diego, CA
  • NPI 1255513859
  Medicare reassignment Care Compare group NPD Authorized official
• Brian Chou, MD

  • Radiation Oncology Physician
  • San Diego, CA
  • NPI 1770070609
  Medicare reassignment Care Compare group NPD
• Steven Warren Davis, M.D.

  • Radiation Oncology Physician
  • Orange, CA
  • NPI 1558463653
  Medicare reassignment Care Compare group NPD
• Kripa Anil Guram, MD

  • Radiation Oncology Physician
  • San Diego, CA
  • NPI 1003377391
  Medicare reassignment Care Compare group NPD
• Jona Ashok Hattangadi-Gluth, MD

  • Radiation Oncology Physician
  • La Jolla, CA
  • NPI 1467625491
  Medicare reassignment Care Compare group NPD
• Iain Jacob Macewan, M.D.

  • Radiation Oncology Physician
  • San Diego, CA
  • NPI 1326300401
  Medicare reassignment Care Compare group NPD
• Loren K. Mell, M.D.

  • Radiation Oncology Physician
  • La Jolla, CA
  • NPI 1316119704
  Medicare reassignment Care Compare group NPD
• Brent Shane Rose, M.D.

  • Radiation Oncology Physician
  • La Jolla, CA
  • NPI 1518250869
  Medicare reassignment Care Compare group NPD
• Carl Rossi, M.D.

  • Radiation Oncology Physician
  • San Diego, CA
  • NPI 1518983055
  Medicare reassignment Care Compare group NPD
• Parag Rohit Sanghvi, M.D., M..S.P.H.

  • Radiation Oncology Physician
  • San Diego, CA
  • NPI 1801005152
  Medicare reassignment Care Compare group NPD
• Kathryn Ries Tringale, MD

  • Radiation Oncology Physician
  • San Diego, CA
  • NPI 1780172031
  Medicare reassignment Care Compare group NPD
• James John Urbanic, M.D.

  • Radiation Oncology Physician
  • Encinitas, CA
  • NPI 1164607875
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1093240285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270219",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921982219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 SUMMERS RIDGE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213101",
            "telephone_number": "858-549-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTON DOCTORS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-533-4889",
        "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": []
}

• Prosperous Health San Diego, LLC (San Diego Transformation Center)
• Heather Prosser, NP
• Alisa Prostek, B.A. SLPA
• Protocol Intelligence Inc.
• Proton Center Development Corporation
• Jocelyn C Protopappas, RDN, MSW, MPH
• Nicholas James Protopsaltis, MD, PHD
• Lucy Proudfoot
• David Proulx, DAVID PROULX
• Haley Kendall Provan

• Radiation Oncology Physician in San Diego, CA
• Providers in San Diego, 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 Aug 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.