Active NPI
Radiant Oncology Medical Group
- Radiation Oncology Physician
- Rancho Mirage, CA
National Provider Identifier
1164293106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- RADIANT ONCOLOGY MEDICAL GROUP
- Practice address
- 40055 Bob Hope Dr
Rancho Mirage, CA 92270-3937 - Phone
- (760) 202-3946
- NPI assigned
- Jan 9, 2024
- 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. Syed Ziaulla
- Title
- Coo
- Phone
- (562) 492-6695
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
40055 Bob Hope Dr
Rancho Mirage, CA 92270-3937
Mailing address
2650 Elm Ave Ste 201
Long Beach, CA 90806-1600
Phone (562) 492-6695
Other practice location 1
77840 Flora Rd
Palm Desert, CA 92211-4109
Phone (760) 200-8777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
40055 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 202-3946
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Rancho Mirage, CA
- NPI 1346484490
-
- Radiation Oncology Physician
- Palm Desert, CA
- NPI 1902121544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1164293106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 ELM AVE STE 201",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061600",
"telephone_number": "562-492-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40055 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703937",
"telephone_number": "760-202-3946"
}
],
"practiceLocations": [
{
"address_1": "77840 Flora Rd",
"address_purpose": "LOCATION",
"city": "Palm Desert",
"state": "CA",
"postal_code": "922114109",
"country_code": "US",
"telephone_number": "760-200-8777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RADIANT ONCOLOGY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A",
"authorized_official_last_name": "ZIAULLA",
"authorized_official_first_name": "SYED",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "562-492-6695",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.