Peninsula Radiation Oncology Specialists

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

G069630 Issued in CA

Legal business name

PENINSULA RADIATION ONCOLOGY SPECIALISTS

Practice address

2365 Holman Highway
Chomp Radiation Oncology
Monterey, CA 93942

Phone

(831) 625-4630

Fax

(831) 625-4635

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Neal T Glover, MD

Title

Medical Director

Phone

(831) 625-4630

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396898672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX HH",
            "address_2": "CHOMP RADIATION ONCOLOGY",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939426032",
            "telephone_number": "831-625-4630",
            "fax_number": "831-625-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 HOLMAN HIGHWAY",
            "address_2": "CHOMP RADIATION ONCOLOGY",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93942",
            "telephone_number": "831-625-4630",
            "fax_number": "831-625-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA RADIATION ONCOLOGY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "831-625-4630",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G069630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Pembleton, IBCLC
• Laura Pena
• Peninsula Home Healthcare Inc
• Peninsula Optometric Centers Inc
• Peninsula Pediatric Therapy, P.C.
• Penn, Kanaya, Dwelle, MD's (Pediatric Group of Monterey)
• Philip Penrose, M.D.
• Melanie Pensak, MS, CCC-SLP
• Brannon Phillip Peralta, MD
• Jessica Perez Trejo

• Radiation Oncology Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.