NPIMap

Organization Active NPI

Valley Radiotherapy Associates Medical Group Inc

  • Radiation Oncology Physician
  • West Hills, CA
National Provider Identifier
1760645329
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
23023 Sherman Way
West Hills, CA 91307-2000
Phone
(818) 884-1683
Fax
(818) 884-3861
NPI assigned
Jul 3, 2008
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, MD
Title
Ceo
Phone
(310) 335-4065

Specialties & licenses 1

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

Addresses

Primary practice location

23023 Sherman Way
West Hills, CA 91307-2000

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.

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": "1760645329",
    "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": "23023 SHERMAN WAY",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072000",
            "telephone_number": "818-884-1683",
            "fax_number": "818-884-3861"
        }
    ],
    "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 West Hills, 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.