Los Gatos Radiation Oncology Medical Associates

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

LOS GATOS RADIATION ONCOLOGY MEDICAL ASSOCIATES

Practice address

15400 National Ave
Ste 100
Los Gatos, CA 95032-2433

Phone

(209) 342-2300

Fax

(209) 524-4240

NPI assigned

Nov 1, 2005

Organization subpart

No

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

Authorized official

Name

Abbinand Venkata Peddada, MD

Title

Partner

Phone

(209) 342-2300

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1477544229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NORTHSTAR WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569262",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 NATIONAL AVE",
            "address_2": "STE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322433",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS GATOS RADIATION ONCOLOGY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "PEDDADA",
        "authorized_official_first_name": "ABBINAND",
        "authorized_official_middle_name": "VENKATA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "209-342-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0087740",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ62315Z",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Los Gatos, CA
• Providers in Los Gatos, 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 Nov 29, 2007; 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.