Organization Active NPI

Regents of the University of California

  • Radiation Oncology Clinic/Center
  • Chula Vista, CA
National Provider Identifier
1134450596
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Practice address
959 Lane Ave
Building B
Chula Vista, CA 91914-4528
Phone
(619) 502-7721
Fax
(619) 502-7740
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Jeanean Foster
Title
Managed Care Supervisor
Phone
(615) 783-1254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X Primary

Addresses

Primary practice location

959 Lane Ave
Building B
Chula Vista, CA 91914-4528

Mailing address

104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245
Phone (615) 467-7400

Other practice location 1

1410 S La Brucherie Rd # B
El Centro, CA 92243-9676
Phone (619) 502-7721

Other names 1

  • UCSD Radiation Oncology South Bay Doing business as

National Provider Directory

National Provider Directory

Locations

959 Lane Ave
Bldg B
Chula Vista, CA 91914
Phone (619) 502-7721

959 Lane Ave
Ste B
Chula Vista, CA 91914
Phone (619) 502-7721

1410 S La Brucherie Rd
#B
El Centro, CA 92243
Phone (760) 339-5620

Practitioners & affiliated clinicians

Practitioners 4

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": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1134450596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "615-467-7400",
            "fax_number": "615-467-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 LANE AVE",
            "address_2": "BUILDING B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144528",
            "telephone_number": "619-502-7721",
            "fax_number": "619-502-7740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 S La Brucherie Rd # B",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922439676",
            "country_code": "US",
            "telephone_number": "619-502-7721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "JEANEAN",
        "authorized_official_title_or_position": "MANAGED CARE SUPERVISOR",
        "authorized_official_telephone_number": "615-783-1254"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSD Radiation Oncology South Bay",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCSD Radiation Oncology South Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.