Active NPI
David V Eastham, MD, MPH
- Radiation Oncology Physician
- Travis Afb, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- A96202
- Practice address
- 101 Bodin Circle, SGQX
Dept of Radiation Oncology
Travis Afb, CA 94535 - Phone
- (707) 423-7691
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | A96202 | CA | Primary |
| Family Medicine Physician | 207Q00000X | A96202 | CA |
Addresses
Primary practice location
101 Bodin Circle, SGQX
Dept of Radiation Oncology
Travis Afb, CA 94535
Mailing address
101 Bodin Circle, SGQX
Dept of Radiation Oncology
Travis Afb, CA 94535
Phone (707) 423-7691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96202 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients |
Locations
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
101 Bodin Cir
#Sgqx
Travis AFB, CA 94535
Phone (707) 423-7691
101 Bodin Cir
Travis AFB, CA 94535
Phone (707) 423-3000
1020 Nut Tree Rd
Ste 390
Vacaville, CA 95687
Phone (707) 624-8000
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1356412050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BODIN CIRCLE, SGQX",
"address_2": "DEPT OF RADIATION ONCOLOGY",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "94535",
"telephone_number": "707-423-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BODIN CIRCLE, SGQX",
"address_2": "DEPT OF RADIATION ONCOLOGY",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "94535",
"telephone_number": "707-423-7691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTHAM",
"first_name": "DAVID",
"middle_name": "V",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A96202",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A96202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Travis Afb, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.