Active NPI
Siavosh Vakilian, MD
- Radiation Oncology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- A133482
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB366085 | Other | CA | MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A133482 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Healthcare Partners PC | Current | Accepting new patients | |
| Walter K Nahm MD PHD Inc | Current | Accepting new patients | |
| Newport Radiosurgery Center, a Medical Corporation | Radiation Oncology | Current | Accepting new patients |
| Valley Radiotherapy Associates Medical Group Inc | Radiation Oncology | Past | Accepting new patients |
| Cabrillo Surgery Center | Past | 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
- siavosh.vakilian.1@3663.direct.athenahealth.com
- 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.
-
- Specialist
- Encinitas, CA
- NPI 1548567498
-
- Radiation Oncology Physician
- Newport Beach, CA
- NPI 1174748685
-
- MOHS-Micrographic Surgery Physician
- San Diego, CA
- NPI 1720110968
-
- Ambulatory Surgical Clinic/Center
- San Diego, CA
- NPI 1154554160
-
- Specialist
- Escondido, CA
- NPI 1598763971
-
- Radiation Oncology Physician
- Fullerton, CA
- NPI 1255594925
-
- Podiatrist
- Yuma, AZ
- NPI 1437297942
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.
- 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.