NPIMap

Organization Active NPI

The Radiation Medical Group Inc

Doing business as Radiosurgery Medical Group Inc

  • Specialist
  • Encinitas, CA
National Provider Identifier
1174653315
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE RADIATION MEDICAL GROUP INC
Doing business as
Radiosurgery Medical Group Inc
Practice address
477 N El Camino Real
Ste D-101a
Encinitas, CA 92024-1328
Phone
(858) 505-4100
NPI assigned
Mar 6, 2007
Last updated
Dec 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Douglas Myking, MBA
Title
Executive Dir, Cfo
Phone
(619) 220-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

477 N El Camino Real
Ste D-101a
Encinitas, CA 92024-1328

Mailing address

PO Box 33865
San Diego, CA 92163-3865
Phone (858) 888-7700

Other identifiers 1

IdentifierTypeStateIssuer
20819OtherCABUSINESS LICENSE

Other names 1

  • RADIOSURGERY MEDICAL GROUP INC Doing business as

National Provider Directory

National Provider Directory

Locations

477 N El Camino Real
Ste D101A
Encinitas, CA 92024
Phone (858) 505-4100

5395 Ruffin Rd
Ste 103
San Diego, CA 92123
Phone (858) 505-4100

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1174653315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33865",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633865",
            "telephone_number": "858-888-7700",
            "fax_number": "858-888-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "STE D-101A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "858-505-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RADIATION MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "MYKING",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "EXECUTIVE DIR, CFO",
        "authorized_official_telephone_number": "619-220-4100",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "20819",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RADIOSURGERY MEDICAL GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.