Organization Active NPI

Woodhouse & Karon, a Medical Corporation

  • Radiation Oncology Physician
  • Anaheim, CA
National Provider Identifier
1922044874
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2085R0001X Issued in CA
Legal business name
WOODHOUSE & KARON, A MEDICAL CORPORATION
Practice address
1211 W la Palma Ave
Suite 100
Anaheim, CA 92801-2815
Phone
(714) 991-3380
Fax
(714) 991-5206
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Robert J Woodhouse, MD
Title
Owner
Phone
(714) 991-3380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 2085R0001X CA Primary

Addresses

Primary practice location

1211 W la Palma Ave
Suite 100
Anaheim, CA 92801-2815

Mailing address

1211 W la Palma Ave
Suite 100
Anaheim, CA 92801-2815
Phone (714) 991-3380

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ77835ZMedicaidCA

Other names 1

  • Radiation Oncology Medical Group of Southern CA, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Radiation Oncology Medical Group of Southern Ca Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1211 W La Palma Ave
Ste 100
Anaheim, CA 92801
Phone (714) 956-1686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1922044874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "SUITE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "714-991-3380",
            "fax_number": "714-991-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "SUITE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "714-991-3380",
            "fax_number": "714-991-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHOUSE & KARON, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "WOODHOUSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-991-3380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "2085R0001X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ77835Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiation Oncology Medical Group of Southern CA, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.