The Radiation Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

THE RADIATION MEDICAL GROUP INC

Doing business as

Radiosurgery Medical Group Inc

Practice address

5395 Ruffin Rd
Ste 103
San Diego, CA 92123-1338

Phone

(858) 505-4100

Fax

(858) 751-0601

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Douglas Myking

Title

Cfo/Executive Director

Phone

(619) 220-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RADIOSURGERY MEDICAL GROUP INC Doing business as

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1831120633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33865",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633865",
            "telephone_number": "858-888-7700",
            "fax_number": "858-888-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 RUFFIN RD",
            "address_2": "STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231338",
            "telephone_number": "858-505-4100",
            "fax_number": "858-751-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RADIATION MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "MYKING",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CFO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-220-4100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7306137",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RADIOSURGERY MEDICAL GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.