Individual provider Active NPI

Paul Noble Page, MD

  • Radiation Oncology Physician
  • Sacramento, CA
National Provider Identifier
1811132152
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A99154 Issued in CA
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

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02777031MedicaidMS
1811132152MedicaidCA
2124871MedicaidLA

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
I20181115002029 CA Practitioner - Radiation Oncology 1254465735 Reassigns benefits to 1 organization

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
Cancer Therapy Medical Group IncGroup PAC ID 6800792003, 12 clinicians

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

LicenseStateTypeSpecialty
A99154CAMDRadiation Oncology Physician
MD204057LAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Therapy Medical Group Inc Radiation Oncology CurrentSince Nov 13, 2018 Accepting new patients
Cancer Therapy Medical Group Inc Radiation Oncology CurrentSince Nov 13, 2018 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.

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

Verify at the official NPI Registry.