NPIMap

Organization Active NPI

Valley Radiotherapy Associates Medical Group Inc

  • Radiation Oncology Physician
  • Sherman Oaks, CA
National Provider Identifier
1598928152
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
VALLEY RADIOTHERAPY ASSOCIATES MEDICAL GROUP INC
Practice address
5522 Sepulveda Blvd
Sherman Oaks, CA 91411-3437
Phone
(818) 997-1522
Fax
(818) 997-0705
NPI assigned
Jul 3, 2008
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Leslie E Botnick, MDNPI 1275530917
Title
Ceo
Phone
(310) 335-4065

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)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

5522 Sepulveda Blvd
Sherman Oaks, CA 91411-3437

Mailing address

PO Box 10050
Manhattan Beach, CA 90267-7550
Phone (310) 335-4056

National Provider Directory

National Provider Directory
Tax ID family
Valley Radiotherapy Associates Medical Group Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1598928152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10050",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902677550",
            "telephone_number": "310-335-4056",
            "fax_number": "310-335-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 SEPULVEDA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113437",
            "telephone_number": "818-997-1522",
            "fax_number": "818-997-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RADIOTHERAPY ASSOCIATES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "BOTNICK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-335-4065",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.