Individual provider Active NPI

Siavosh Vakilian, MD

  • Radiation Oncology Physician
  • San Diego, CA
National Provider Identifier
1427456151
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A133482 Issued in CA
Practice address
3366 5TH Ave
San Diego, CA 92103-5713
Phone
(619) 230-0400
Fax
(858) 429-7936
NPI assigned
Dec 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A133482 CA Primary

Addresses

Primary practice location

3366 5TH Ave
San Diego, CA 92103-5713

Mailing address

PO Box 845996
Los Angeles, CA 90084-3592
Phone (858) 888-7700

Other practice location 1

1410 S La Brucherie Rd
El Centro, CA 92243-9676
Phone (760) 339-5620

Other practice location 2

701 E Grand Ave Ste 200
Escondido, CA 92025-4466
Phone (760) 839-7370

Other practice location 3

5395 Ruffin Rd Ste 103
San Diego, CA 92123-1338
Phone (858) 505-4100

Other identifiers 1

IdentifierTypeStateIssuer
CB366085OtherCAMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141218001208 CA Practitioner - Radiation Oncology 7113240482 Reassigns benefits to 3 organizations
I20180326001738 AZ Practitioner - Radiation Oncology 7113240482

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

3366 5TH Ave
San Diego, CA 92103-5713
Phone (619) 230-0400

Hospital & facility affiliations

  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A133482CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare Partners PC CurrentSince Mar 1, 2021 Accepting new patients
Walter K Nahm MD PHD Inc CurrentSince Feb 3, 2015 Accepting new patients
Newport Radiosurgery Center, a Medical Corporation Radiation Oncology CurrentSince Feb 19, 2024 Accepting new patients
Valley Radiotherapy Associates Medical Group Inc Radiation Oncology Past Accepting new patients
Cabrillo Surgery Center PastSince Feb 3, 2015 Accepting new patients
Dale Feinberg Past Accepting new patients
Radiation Medical Group Inc Past Accepting new patients

Locations

701 E Grand Ave
Ste 200
Escondido, CA 92025
Phone (760) 839-7370

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

1605 Avocado Ave
Newport Beach, CA 92660
Phone (949) 760-3025

5395 Ruffin Rd
Ste 103
San Diego, CA 92123
Phone (858) 505-4100

3366 5th Ave
Ste 103
San Diego, CA 92103

3366 5th Ave
San Diego, CA 92103
Phone (619) 230-0400

7695 Cardinal Ct
Ste 200
San Diego, CA 92123
Phone (858) 278-8835

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: siavosh.vakilian.1@3663.direct.athenahealth.com
  • Direct secure messaging: siavoshvakilian@ghp.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1427456151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845996",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900843592",
            "telephone_number": "858-888-7700",
            "fax_number": "858-221-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 5TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035713",
            "telephone_number": "619-230-0400",
            "fax_number": "858-429-7936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 S La Brucherie Rd",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922439676",
            "country_code": "US",
            "telephone_number": "760-339-5620",
            "fax_number": "760-339-5621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Grand Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254466",
            "country_code": "US",
            "telephone_number": "760-839-7370",
            "fax_number": "858-429-7938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5395 Ruffin Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231338",
            "country_code": "US",
            "telephone_number": "858-505-4100",
            "fax_number": "858-429-7939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAKILIAN",
        "first_name": "SIAVOSH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-11",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A133482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "CB366085",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.