Active NPI
Vijay Kini MD. Inc.
Doing business as Radiation Oncology Medical Group of Southern CA, Inc.
- Radiation Oncology Physician
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- VIJAY KINI MD. INC.
- Doing business as
- Radiation Oncology Medical Group of Southern CA, Inc.
- Practice address
- 2895 Edinger Ave
Tustin, CA 92780-7257 - Phone
- (949) 381-5800
- Fax
- (949) 552-5152
- NPI assigned
- Jul 5, 2006
- Last updated
- Apr 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vijaykumar R Kini, MD
- Title
- Owner
- Phone
- (949) 381-5800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | CA | Primary |
Addresses
Primary practice location
2895 Edinger Ave
Tustin, CA 92780-7257
Mailing address
PO Box 101455
Pasadena, CA 91189-1455
Phone (770) 693-2622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ77835Z | Medicaid | CA |
Other names 1
- Radiation Oncology Medical Group of Southern CA, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Radiation Oncology Medical Group of Southern Ca Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Radiation Oncology Medical Group of Southern CA, Inc.
- Radiation Oncology Physician
- Anaheim, CA
- NPI 1922044874
Locations
1041 E Yorba Linda Blvd
#100
Placentia, CA 92870
Phone (714) 579-7575
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
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.
-
- Radiation Oncology Physician
- Tustin, CA
- NPI 1417940198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492387200000",
"number": "1265463970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101455",
"city": "PASADENA",
"state": "CA",
"postal_code": "911891455",
"telephone_number": "770-693-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2895 EDINGER AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927807257",
"telephone_number": "949-381-5800",
"fax_number": "949-552-5152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIJAY KINI MD. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2017-04-17",
"status": "A",
"authorized_official_last_name": "KINI",
"authorized_official_first_name": "VIJAYKUMAR",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-381-5800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ77835Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Radiation Oncology Medical Group of Southern CA, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.