Organization Active NPI

Westside Oncology PC

  • Radiation Oncology Physician
  • Santa Monica, CA
National Provider Identifier
1245542893
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
WESTSIDE ONCOLOGY PC
Practice address
1328 22ND St
Santa Monica, CA 90404-2032
Phone
(310) 829-8913
Fax
(310) 315-6168
NPI assigned
Jul 12, 2010
Last updated
Jul 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Dr. Leslie E Botnick, MD
Title
Cmo
Phone
(310) 335-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

1328 22ND St
Santa Monica, CA 90404-2032

Mailing address

1500 Rosecrans Ave
Suite 400
Manhattan Beach, CA 90266-3763
Phone (310) 416-8956

National Provider Directory

National Provider Directory

Locations

1500 Rosecrans Ave
Ste 400
Manhattan Beach, CA 90266
Phone (310) 335-4000

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1245542893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROSECRANS AVE",
            "address_2": "SUITE 400",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663763",
            "telephone_number": "310-416-8956",
            "fax_number": "310-335-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 22ND ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042032",
            "telephone_number": "310-829-8913",
            "fax_number": "310-315-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "BOTNICK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "310-335-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.