Organization Active NPI

Uri M. Zisblatt MD, Inc.

  • Radiation Oncology Physician
  • Covina, CA
National Provider Identifier
1306263082
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G80195 Issued in CA
Legal business name
URI M. ZISBLATT MD, INC.
Doing business as
Premier Radiation Oncology
Practice address
210 W San Bernardino Rd
Dept of Radiation Oncology
Covina, CA 91723-1515
Phone
(626) 915-6280
Fax
(626) 859-5829
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Dr. Uri Zisblatt, M.D.
Title
President
Phone
(626) 915-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X G80195 CA Primary

Addresses

Primary practice location

210 W San Bernardino Rd
Dept of Radiation Oncology
Covina, CA 91723-1515

Mailing address

210 W San Bernardino Rd
Dept of Radiation Oncology
Covina, CA 91723-1515
Phone (626) 915-6280

Other names 1

  • Premier Radiation Oncology Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1306263082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W SAN BERNARDINO RD",
            "address_2": "DEPT OF RADIATION ONCOLOGY",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231515",
            "telephone_number": "626-915-6280",
            "fax_number": "626-859-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W SAN BERNARDINO RD",
            "address_2": "DEPT OF RADIATION ONCOLOGY",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231515",
            "telephone_number": "626-915-6280",
            "fax_number": "626-859-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URI M. ZISBLATT MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "ZISBLATT",
        "authorized_official_first_name": "URI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-915-6280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G80195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.