NPIMap

Organization Active NPI

UC Regents Department of Radiation Oncology

  • Radiation Oncology Physician
  • Orange, CA
National Provider Identifier
1386692473
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
UC REGENTS DEPARTMENT OF RADIATION ONCOLOGY
Practice address
101 The City Dr S
Orange, CA 92868
Phone
(714) 456-8068
Fax
(714) 456-3765
NPI assigned
May 4, 2006
Last updated
Mar 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Dr. Uci Health Provider Relations
Title
Ups Provider Relations
Phone
(714) 456-2986

Specialties & licenses 1

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

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868

Mailing address

PO Box 31001-2399
Pasadena, CA 91110-2399

Other identifiers 3

IdentifierTypeStateIssuer
GR0014560OtherCAMEDI-CAL GROUP #
ZZZ91955ZOtherCABLUE SHIELD GROUP #
CH1410OtherCARAILROAD MEDICARE GROUP

Other names 1

  • The Regents of the University of California Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050406000678 CA Part B Supplier - Clinic/Group Practice 7416904214 Receives reassigned benefits from 26 practitioners
Practice locations: Orange, CA; Fountain Valley, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1386692473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-2399",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911102399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-8068",
            "fax_number": "714-456-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC REGENTS DEPARTMENT OF RADIATION ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "PROVIDER RELATIONS",
        "authorized_official_first_name": "UCI HEALTH",
        "authorized_official_title_or_position": "UPS PROVIDER RELATIONS",
        "authorized_official_telephone_number": "714-456-2986",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GROUP #",
            "identifier": "GR0014560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ91955Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CH1410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Regents of the University of California",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.

Verify at the official NPI Registry.