Individual provider Active NPI

Sunil Jeram Advani, M.D.

  • Radiation Oncology Physician
  • La Jolla, CA
National Provider Identifier
1669649844
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A110025 Issued in CA
Practice address
3855 Health Sciences Dr # 843
Ucsd Moores Cancer Center Dept Radiation Oncology
La Jolla, CA 92093-0843
Phone
(858) 822-4364
Fax
(858) 822-7400
NPI assigned
May 15, 2008
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A110025 CA Primary

Addresses

Primary practice location

3855 Health Sciences Dr # 843
Ucsd Moores Cancer Center Dept Radiation Oncology
La Jolla, CA 92093-0843

Mailing address

200 W Arbor Dr
Ucsd Medical Center Dept Radiology MC 8756
San Diego, CA 92103-8756
Phone (858) 822-4364

Other practice location 1

1410 S La Brucherie Rd Ste B
El Centro, CA 92243-9676
Phone (760) 339-5620

Other practice location 2

959 Lane Ave
Chula Vista, CA 91914-4528
Phone (619) 502-7730

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100429001138 CA Practitioner - Radiation Oncology 4587791132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Chicago, Pritzker School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiation Oncology Network of Southern CaliforniaGroup PAC ID 3870906092, 5 clinicians

Practice addresses (Care Compare)

1200 Garden View Rd
Suite 210
Encinitas, CA 92024-2475
Phone (800) 926-8273

3855 Health Sciences Dr
La Jolla, CA 92093-1503
Phone (800) 926-8273

447 N El Camino Real
Encinitas, CA 92024-1302
Phone (858) 657-7000

9300 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273

9350 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273

959 Lane Ave
Chula Vista, CA 91914-4528
Phone (619) 502-7730

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A110025CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Network of Southern California CurrentSince Dec 1, 2020 Accepting new patients
Regents of the University of California Radiation Oncology CurrentSince Mar 1, 2010 Accepting new patients
Scott Logan Brown, MD, a Professional Corp CurrentSince Dec 1, 2020 Accepting new patients
Cancer Treatment Services San Diego, LLC Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

959 Lane Ave
Chula Vista, CA 91914
Phone (619) 502-7730

959 Lane Ave
Bldg B
Chula Vista, CA 91914
Phone (619) 502-7721

959 Lane Ave
Ste B
Chula Vista, CA 91914
Phone (619) 502-7721

1410 S La Brucherie Rd
#B
El Centro, CA 92243
Phone (760) 339-5620

1200 Garden View Rd
Ste 210
Encinitas, CA 92024
Phone (858) 246-0500

3855 Health Sciences Dr
#843
La Jolla, CA 92093
Phone (858) 822-6040

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

200 W Arbor Dr
#8201
San Diego, CA 92103
Phone (858) 534-6290

200 W Arbor Dr
#8756
San Diego, CA 92103
Phone (619) 543-3534

200 W Arbor Dr
#M
San Diego, CA 92103
Phone (858) 822-7574

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sjadvani@epluscancercare.direct.varian.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1669649844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "address_2": "UCSD MEDICAL CENTER DEPT RADIOLOGY MC 8756",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038756",
            "telephone_number": "858-822-4364",
            "fax_number": "858-822-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 HEALTH SCIENCES DR # 843",
            "address_2": "UCSD MOORES CANCER CENTER DEPT RADIATION ONCOLOGY",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930843",
            "telephone_number": "858-822-4364",
            "fax_number": "858-822-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 S La Brucherie Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922439676",
            "country_code": "US",
            "telephone_number": "760-339-5620",
            "fax_number": "760-339-5621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "959 Lane Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919144528",
            "country_code": "US",
            "telephone_number": "619-502-7730",
            "fax_number": "619-502-7740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADVANI",
        "first_name": "SUNIL",
        "middle_name": "JERAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A110025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.