NPIMap

Organization Active NPI

Prigge Radiation Oncoology Medical Group

  • Radiation Oncology Physician
  • Modesto, CA
National Provider Identifier
1720150816
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G32267 Issued in CA
Legal business name
PRIGGE RADIATION ONCOOLOGY MEDICAL GROUP
Practice address
1316 Nelson Ave
Modesto, CA 95350-5341
Phone
(209) 575-5870
Fax
(209) 575-5872
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Peter K Sien, MD
Title
Owner
Phone
(209) 575-5870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X G32267 CA Primary

Addresses

Primary practice location

1316 Nelson Ave
Modesto, CA 95350-5341

Mailing address

1316 Nelson Ave
Modesto, CA 95350-5341
Phone (209) 575-5870

Other identifiers 1

IdentifierTypeStateIssuer
00G322670MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Prigge Rad Onc Ctr2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1720150816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 NELSON AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505341",
            "telephone_number": "209-575-5870",
            "fax_number": "209-575-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 NELSON AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505341",
            "telephone_number": "209-575-5870",
            "fax_number": "209-575-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIGGE RADIATION ONCOOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "SIEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-575-5870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G32267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G322670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.