Organization Active NPI

Santa Clarita Radiotherapy Medical Group

  • Radiation Oncology Physician
  • Santa Clarita, CA
National Provider Identifier
1497782692
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
SANTA CLARITA RADIOTHERAPY MEDICAL GROUP
Practice address
26357 McBean Parkway
Suite 150
Santa Clarita, CA 91355-1207
Phone
(661) 288-5965
Fax
(661) 288-5988
NPI assigned
Jun 26, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Robert Benson, MDNPI 1033188529
Title
President
Phone
(949) 242-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

26357 McBean Parkway
Suite 150
Santa Clarita, CA 91355-1207

Mailing address

100 Bayview Cir Ste 400
Newport Beach, CA 92660-2984
Phone (949) 242-5300

Other identifiers 2

IdentifierTypeStateIssuer
GR0101940MedicaidCA
GR0101941MedicaidCA

National Provider Directory

National Provider Directory

Locations

File 50570
Los Angeles, CA 90074

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497782692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BAYVIEW CIR STE 400",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602984",
            "telephone_number": "949-242-5300",
            "fax_number": "602-773-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26357 MCBEAN PARKWAY",
            "address_2": "SUITE 150",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551207",
            "telephone_number": "661-288-5965",
            "fax_number": "661-288-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARITA RADIOTHERAPY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-242-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101940",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101941",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.