Active NPI
Paul Noble Page, MD
- Radiation Oncology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- A99154
- Practice address
- 8100 Bruceville Rd
Sacramento, CA 95823 - Phone
- (916) 683-9616
- Fax
- (916) 688-1320
- NPI assigned
- Dec 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD204057 | LA | |
| Radiation Oncology Physician | 2085R0001X | A99154 | CA | Primary |
Addresses
Primary practice location
8100 Bruceville Rd
Sacramento, CA 95823
Mailing address
PO Box 756
Danville, CA 94526-0756
Phone (877) 866-0914
Other practice location 1
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3440
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02777031 | Medicaid | MS | |
| 1811132152 | Medicaid | CA | |
| 2124871 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of California, San Francisco School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8100 Bruceville Rd
Sacramento, CA 95823-2353
Phone (916) 683-9616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A99154 | CA | MD | Radiation Oncology Physician |
| MD204057 | LA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Therapy Medical Group Inc | Radiation Oncology | Current | Accepting new patients |
| Cancer Therapy Medical Group Inc | Radiation Oncology | Current | Accepting new patients |
| Cancer Therapy Medical Group Inc | Radiation Oncology | Current | Accepting new patients |
Locations
7887 N Cedar Ave
Fresno, CA 93720
Phone (559) 320-4300
8100 Bruceville Rd
Sacramento, CA 95823
Phone (916) 683-9616
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Alamo, CA
- NPI 1952585754
-
dba South Sacramento Cancer Center
- Radiation Oncology Physician
- Sacramento, CA
- NPI 1508876400
-
dba Fresno Cancer Center & Central Valley Breast Care
- Radiation Oncology Physician
- Fresno, CA
- NPI 1659381549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1811132152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 756",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945260756",
"telephone_number": "877-866-0914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 BRUCEVILLE RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95823",
"telephone_number": "916-683-9616",
"fax_number": "916-688-1320"
}
],
"practiceLocations": [
{
"address_1": "1514 Jefferson Hwy",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701212429",
"country_code": "US",
"telephone_number": "504-842-3440",
"fax_number": "504-842-2037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGE",
"first_name": "PAUL",
"middle_name": "NOBLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-15",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "LA",
"license": "MD204057",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A99154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02777031",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811132152",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2124871",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.