Jacob Andrade, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

A130911 Issued in CA

Practice address

1069 Los Palos Dr
Salinas, CA 93901

Phone

(831) 758-2724

NPI assigned

May 7, 2012

Last updated

Oct 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Radiation Oncology

Education

University of Southern California Keck School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Coastal Radiation Oncology Medical Group, Inc.Group PAC ID 7214946201, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334
• Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Radiation Oncology Medical Group Inc

  • Radiation Oncology Physician
  • Lompoc, CA
  • NPI 1922038173
  Medicare reassignment NPD
• Coastal Radiation Oncology Medical Group, Inc.

  dba Salinas Radiation Oncology Medical Center, Inc.

  • Radiation Oncology Physician
  • Salinas, CA
  • NPI 1699707885
  Medicare reassignment NPD
• Sutter Bay Medical Foundation

  dba Palo Alto Medial Foundation

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
  • NPI 1013950807
  Medicare reassignment NPD
• Coastal Radiation Oncology Medical Group Inc

  • Radiation Oncology Physician
  • Ventura, CA
  • NPI 1922038009
  NPD
• Sutter Bay Medical Foundation

  dba Sutter Pacific Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1003267196
  NPD
• Sutter Bay Medical Foundation

  dba Palo Alto Medical Foundation

  • Clinical Medical Laboratory
  • Santa Clara, CA
  • NPI 1669287033
  NPD
• Coastal Radiation Oncology Medical Group, Inc.

  dba Santa Maria Radiation Oncology Medical Center, Inc.

  • Radiation Oncology Physician
  • Santa Maria, CA
  • NPI 1093749129
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital of the Monterey Peninsula

  • Psychiatric Hospital Unit
  • Monterey, CA
  • NPI 1679562169
  Care Compare affiliation
• Community Hospital of the Monterey Peninsula

  • General Acute Care Hospital
  • Monterey, CA
  • NPI 1932197258
  Care Compare affiliation
• Salinas Valley Memorial Healthcare System

  dba Taylor Farms Family Health & Wellness Center

  • Rural Health Clinic/Center
  • Gonzales, CA
  • NPI 1437549284

  Hospital

  Care Compare affiliation
• Salinas Valley Memorial Healthcare System

  • General Acute Care Hospital
  • Salinas, CA
  • NPI 1750384079
  Care Compare affiliation

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1659630044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 LOS PALOS DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013916",
            "telephone_number": "831-758-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 LOS PALOS DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93901",
            "telephone_number": "831-758-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A130911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659630044",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zulfia Anderson, PA-C
• Dulce Valeria Andrade Cortez, AA-T PSYCHOLOGY
• Dayanara Andrade
• Elizabeth Andrade
• Esmeralda Andrade
• Juan Andrade
• Leila Andrade
• Maria Teresa Andrade
• Monica Andrade
• Yovana Andrade

• Radiation Oncology Physician in Salinas, CA
• Providers in Salinas, 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 Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.