Active NPI
Washington Radiation Oncology Center, a Medical Group, Inc
- Radiation Oncology Physician
- Fremont, CA
National Provider Identifier
1861656308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- G36600
- Legal business name
- WASHINGTON RADIATION ONCOLOGY CENTER, A MEDICAL GROUP, INC
- Practice address
- 39101 Civic Center Dr
Fremont, CA 94538-5817 - Phone
- (510) 796-7212
- Fax
- (510) 745-6469
- NPI assigned
- Jul 14, 2008
- Last updated
- Jul 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Albert L. Brooks, M.D.
- Title
- President
- Phone
- (510) 795-2026
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | G36600 | CA | Primary |
Addresses
Primary practice location
39101 Civic Center Dr
Fremont, CA 94538-5817
Mailing address
39101 Civic Center Dr
Fremont, CA 94538-5817
Phone (510) 796-7212
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Fremont, CA
- NPI 1568514891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436400000000",
"number": "1861656308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39101 CIVIC CENTER DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385817",
"telephone_number": "510-796-7212",
"fax_number": "510-745-6469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39101 CIVIC CENTER DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385817",
"telephone_number": "510-796-7212",
"fax_number": "510-745-6469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON RADIATION ONCOLOGY CENTER, A MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-14",
"last_updated": "2015-07-09",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-795-2026",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "G36600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
- Washington Medical Group
- Washington Neurosurgical & Medical Group, Inc (n/a)
- Washington Newark Medical Group (Washington Clinic/Warm Springs)
- Washington Outpatient Rehabilitation Center, a Joint Venture (Washington Outpatient Rehabilitation Center)
- Washington Outpatient Surgery Center, LLC (Washington Outpatient Surgery Center)
- Washington Radiologists Medical Group, Inc.
- Washington Township Hospital Development Corporation (Washington On Wheels)
- Washington Township Hospital Development Corporation (Washington Outpatient Rehab Center)
- Washington Township Hospital Development Corporation (Washington Urgent Care)
- Washington Township Hospital Development Corporation (Washington Radiation Oncology Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.