Marin Radiation Oncology Medical Group

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

MARIN RADIATION ONCOLOGY MEDICAL GROUP

Practice address

1350 S Eliseo Dr
100
Greenbrae, CA 94904-2011

Phone

(209) 342-2300

Fax

(209) 524-4240

NPI assigned

Nov 16, 2005

Organization subpart

No

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

Authorized official

Name

Ernest Wayne Torigoe, MDNPI 1720060700

Title

Director Medical

Phone

(209) 342-2300

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ernest Wayne Torigoe, MD

  • Radiation Oncology Physician
  • Greenbrae, CA
  • NPI 1720060700
  NPD (past) Authorized official
• Lloyd Tomoaki Miyawaki, MD

  • Radiation Oncology Physician
  • Greenbrae, CA
  • NPI 1497737464
  NPD (past)
• Joseph Charles Poen, MD

  • Radiation Oncology Physician
  • Greenbrae, CA
  • NPI 1972585941
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1184606162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NORTHSTAR WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569262",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S ELISEO DR",
            "address_2": "100",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042011",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN RADIATION ONCOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "TORIGOE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DIRECTOR MEDICAL",
        "authorized_official_telephone_number": "209-342-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0046360",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ25782Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marin Medical Laboratories (Marin General Hospital Path Dept.)
• Marin Medical Laboratories (Marin Medical Laboratories Marin General Hospital)
• Marin Nephrology
• Marin Pediatric Associates, a Medical Corporation (marin pediatrics)
• Marin Psychiatric Group, Inc.
• Marin Rheumatology, Inc.
• Marin Services for Women
• Marin Services for Women
• Marin Urology Medical Group, Inc
• Mark Bazalgette, M.D., Inc.

• Radiation Oncology Physician in Greenbrae, CA
• Providers in Greenbrae, 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 Dec 8, 2008; 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.