NPIMap

Organization Active NPI

Cyberknife of Southern California at Vista

  • Radiation Oncology Clinic/Center
  • Vista, CA
National Provider Identifier
1245415538
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
CYBERKNIFE OF SOUTHERN CALIFORNIA AT VISTA
Practice address
902 Sycamore Ave
Suite 100
Vista, CA 92081-7879
Phone
(760) 599-9545
Fax
(760) 599-9549
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Elizabeth N Bourbeau
Title
Manager
Phone
(760) 599-9545

Specialties & licenses 1

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

Addresses

Primary practice location

902 Sycamore Ave
Suite 100
Vista, CA 92081-7879

Mailing address

902 Sycamore Ave
Suite 100
Vista, CA 92081-7879
Phone (760) 599-9545

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1245415538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 SYCAMORE AVE",
            "address_2": "SUITE 100",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817879",
            "telephone_number": "760-599-9545",
            "fax_number": "760-599-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 SYCAMORE AVE",
            "address_2": "SUITE 100",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817879",
            "telephone_number": "760-599-9545",
            "fax_number": "760-599-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYBERKNIFE OF SOUTHERN CALIFORNIA AT VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "BOURBEAU",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-599-9545"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.