John R Salzman MD Inc

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

G22265 Issued in CA

Legal business name

JOHN R SALZMAN MD INC

Practice address

450 30TH St
Dept G800
Oakland, CA 94609-3302

Phone

(931) 432-2343

Fax

(931) 432-4653

NPI assigned

Oct 11, 2005

Organization subpart

No

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

Authorized official

Name

John Richard Salzman, MD

Title

Owner

Phone

(931) 432-2343

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1255329637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 30TH ST",
            "address_2": "DEPT G800",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093302",
            "telephone_number": "931-432-2343",
            "fax_number": "931-432-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 30TH ST",
            "address_2": "DEPT G800",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093302",
            "telephone_number": "931-432-2343",
            "fax_number": "931-432-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R SALZMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "SALZMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-432-2343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G22265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G222650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G222650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Oakland, CA
• Providers in Oakland, 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 Jul 6, 2009; 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.