Organization Active NPI

Napa Valley Radiation Oncology

  • Radiation Oncology Physician
  • Napa, CA
National Provider Identifier
1699545194
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
NAPA VALLEY RADIATION ONCOLOGY
Doing business as
Napa Valley Radiation Oncology
Practice address
Cancer Center, Queen of the Valley Medical Center
1000 Trancas St.
Napa, CA 94558
Phone
(707) 257-4083
NPI assigned
Jan 5, 2024
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Dr. Bhavani S Gannavarapu, MDNPI 1730536988
Title
Radiation Oncologist
Phone
(214) 517-8896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

Cancer Center, Queen of the Valley Medical Center
1000 Trancas St.
Napa, CA 94558

Mailing address

Cancer Center, Queen of the Valley Medical Center
1000 Trancas St.
Napa, CA 94558

Other names 1

  • Napa Valley Radiation Oncology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240619001965 CA Part B Supplier - Clinic/Group Practice 9931642881 Receives reassigned benefits from 2 practitioners
Practice locations: Napa, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1699545194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CANCER CENTER, QUEEN OF THE VALLEY MEDICAL CENTER",
            "address_2": "1000 TRANCAS ST.",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CANCER CENTER, QUEEN OF THE VALLEY MEDICAL CENTER",
            "address_2": "1000 TRANCAS ST.",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94558",
            "telephone_number": "707-257-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPA VALLEY RADIATION ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "GANNAVARAPU",
        "authorized_official_first_name": "BHAVANI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "RADIATION ONCOLOGIST",
        "authorized_official_telephone_number": "214-517-8896",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Napa Valley Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.