Organization Active NPI

Washington Radiation Oncology Center, a Medical Group, Inc

  • Radiation Oncology Physician
  • Fremont, CA
National Provider Identifier
1861656308
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G36600 Issued in CA
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Albert L. Brooks, M.D.NPI 1568514891
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.