Active NPI
Woodhouse & Karon, a Medical Corporation
- Radiation Oncology Physician
- Anaheim, CA
National Provider Identifier
1922044874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 2085R0001X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ77835Z | Medicaid | CA |
Other names 1
- Radiation Oncology Medical Group of Southern CA, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Radiation Oncology Medical Group of Southern Ca Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiation Oncology Physician
- Tustin, CA
- NPI 1265463970
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.
-
- Radiation Oncology Physician
- Tustin, CA
- NPI 1417940198
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.