NPIMap

Organization Active NPI

Radiation Oncology Network of Southern California

  • Radiation Oncology Clinic/Center
  • El Centro, CA
National Provider Identifier
1336752039
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
RADIATION ONCOLOGY NETWORK OF SOUTHERN CALIFORNIA
Practice address
1410 S la Brucherie Rd Ste B
El Centro, CA 92243-9676
Phone
(760) 339-5620
Fax
(760) 339-5621
NPI assigned
Aug 24, 2020
Last updated
Aug 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Authorized official

Name
Mr. Stuart M. Bitting
Title
Cfo
Phone
(615) 783-1253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X Primary

Addresses

Primary practice location

1410 S la Brucherie Rd Ste B
El Centro, CA 92243-9676

Mailing address

104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245
Phone (615) 467-7400

Other practice location 1

959 Lane Ave
Chula Vista, CA 91914-4528
Phone (619) 502-7730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210107002252 CA Part B Supplier - Clinic/Group Practice 3870906092 Receives reassigned benefits from 13 practitioners
Practice locations: Chula Vista, CA; El Centro, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2297633Radiation Oncology Network of Southern California959 Lane Avenue, Chula Vista, CA 91914Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Locations

959 Lane Ave
Chula Vista, CA 91914
Phone (619) 502-7730

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1336752039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "615-467-7400",
            "fax_number": "615-783-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S LA BRUCHERIE RD STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439676",
            "telephone_number": "760-339-5620",
            "fax_number": "760-339-5621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "959 Lane Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919144528",
            "country_code": "US",
            "telephone_number": "619-502-7730",
            "fax_number": "619-502-7740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY NETWORK OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "BITTING",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-783-1253",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.