Active NPI
North Valley Radiation Oncology Medical Group Inc
- Radiation Oncology Physician
- Marysville, CA
National Provider Identifier
1528001054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- NORTH VALLEY RADIATION ONCOLOGY MEDICAL GROUP INC
- Practice address
- 618 5TH St
Marysville, CA 95901-5612 - Phone
- (530) 891-8787
- Fax
- (530) 345-4505
- NPI assigned
- Jun 13, 2006
- Last updated
- Feb 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Wahlen, MD
- Title
- President
- Phone
- (530) 891-8787
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | NU | Primary |
Addresses
Primary practice location
618 5TH St
Marysville, CA 95901-5612
Mailing address
PO Box 511470
Los Angeles, CA 90051-8025
Phone (512) 583-0205
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Radiation Oncology Physician
- Chico, CA
- NPI 1457308769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265673600000",
"number": "1528001054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511470",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900518025",
"telephone_number": "512-583-0205",
"fax_number": "512-583-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 5TH ST",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015612",
"telephone_number": "530-891-8787",
"fax_number": "530-345-4505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH VALLEY RADIATION ONCOLOGY MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2010-02-09",
"status": "A",
"authorized_official_last_name": "WAHLEN",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-891-8787",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.