NPIMap

Organization Active NPI

Washington Township Hospital Development Corporation

Doing business as Washington Radiation Oncology Center

  • Radiation Oncology Clinic/Center
  • Fremont, CA
National Provider Identifier
1508817115
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION
Doing business as
Washington Radiation Oncology Center
Practice address
39101 Civic Center Dr
Fremont, CA 94538-5817
Phone
(510) 796-7212
Fax
(510) 745-6469
NPI assigned
May 16, 2006
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Ms. Nancy Farber
Title
President and Ceo
Phone
(510) 745-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X NU Primary

Addresses

Primary practice location

39101 Civic Center Dr
Fremont, CA 94538-5817

Mailing address

39101 Civic Center Dr
Fremont, CA 94538-5817
Phone (510) 796-7212

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ95438ZOtherCABLUE SHIELD OF CALIFORNIA
GR0019200MedicaidCA

Other names 1

  • Washington Radiation Oncology Center Doing business as

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1508817115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39101 CIVIC CENTER DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385817",
            "telephone_number": "510-796-7212",
            "fax_number": "510-745-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39101 CIVIC CENTER DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385817",
            "telephone_number": "510-796-7212",
            "fax_number": "510-745-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "FARBER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "510-745-6500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ95438Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0019200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Radiation Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.