Organization Active NPI

Red Rocks Radiation & Oncology, LLC

  • Radiation Oncology Physician
  • Golden, CO
National Provider Identifier
1326690827
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
RED ROCKS RADIATION & ONCOLOGY, LLC
Practice address
400 Indiana St Ste 220
Golden, CO 80401-5046
Phone
(720) 420-3300
Fax
(720) 420-3301
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Johnetta Traylor
Title
Government Enrollment Manager
Phone
(949) 242-5584

Specialties & licenses 1

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

Addresses

Primary practice location

400 Indiana St Ste 220
Golden, CO 80401-5046

Mailing address

18201 Von Karman Ave Ste 600
Irvine, CA 92612-1176
Phone (949) 242-5584

National Provider Directory

National Provider Directory

Locations

18201 Von Karman Ave
Ste 600
Irvine, CA 92612
Phone (949) 242-5300

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1326690827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18201 VON KARMAN AVE STE 600",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121176",
            "telephone_number": "949-242-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST STE 220",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015046",
            "telephone_number": "720-420-3300",
            "fax_number": "720-420-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCKS RADIATION & ONCOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "GOVERNMENT ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "949-242-5584"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.