East Bay Radiation Oncology Medical Group, Inc.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

EAST BAY RADIATION ONCOLOGY MEDICAL GROUP, INC.

Practice address

20126 Stanton Ave Ste 101
Castro Valley, CA 94546-5270

Phone

(510) 581-0556

Fax

(510) 581-2161

NPI assigned

Jun 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carl Craig Van Wey, M.D.NPI 1922071844

Title

Secretary

Phone

(510) 581-0556

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Carl Craig Van Wey, M.D.

  • Radiation Oncology Physician
  • Dublin, CA
  • NPI 1922071844
  NPD (past) Authorized official

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255369336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20126 STANTON AVE STE 101",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465270",
            "telephone_number": "510-581-0556",
            "fax_number": "510-581-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20126 STANTON AVE STE 101",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465270",
            "telephone_number": "510-581-0556",
            "fax_number": "510-581-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY RADIATION ONCOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN WEY",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "510-581-0556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4541522",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert H Duey, PHARM D
• Joann Dumas, FNP
• Irene Ang Dy, MD
• Thomas Eales, DO
• East Bay Medical Surgical Center LP
• East Bay Regional Park District
• East Bay Trauma & Acute Care Surgery Inc.
• Analise Marie Eastman Hawkins, MS, FNP
• Lucy Edeh, LVN
• Robert Edelman, M.D.

• Radiation Oncology Physician in Castro Valley, CA
• Providers in Castro Valley, 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 Aug 22, 2020; 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.