Organization Active NPI

Abhinand V Peddada MD

Doing business as Los Gatos Radiation Oncology Assoc

  • Radiation Oncology Physician
  • Los Gatos, CA
National Provider Identifier
1922319565
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A47818 Issued in CA
Legal business name
ABHINAND V PEDDADA MD
Doing business as
Los Gatos Radiation Oncology Assoc
Practice address
15400 National Ave
100
Los Gatos, CA 95032-2433
Phone
(408) 358-8400
Fax
(209) 524-4240
NPI assigned
Jun 29, 2010
Last updated
Mar 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Dr. Abhinand V. Peddada, MD
Title
President
Phone
(209) 342-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A47818 CA Primary

Addresses

Primary practice location

15400 National Ave
100
Los Gatos, CA 95032-2433

Mailing address

4301 N Star Way
Modesto, CA 95356-9262
Phone (209) 342-2300

Other names 1

  • Los Gatos Radiation Oncology Assoc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1922319565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N STAR WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569262",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 NATIONAL AVE",
            "address_2": "100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322433",
            "telephone_number": "408-358-8400",
            "fax_number": "209-524-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABHINAND V PEDDADA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "PEDDADA",
        "authorized_official_first_name": "ABHINAND",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-342-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A47818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Gatos Radiation Oncology Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.