NPIMap

Individual provider Active NPI

Regiane Soares De Andrade, M.D.

  • Radiation Oncology Physician
  • Fountain Valley, CA
National Provider Identifier
1922352467
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A121499 Issued in CA
Practice address
11190 Warner Ave Ste 115
Fountain Valley, CA 92708-4028
Phone
(714) 210-0140
NPI assigned
Nov 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NO. A 121499 CA
Radiation Oncology Physician 2085R0001X A121499 CA Primary

Addresses

Primary practice location

11190 Warner Ave Ste 115
Fountain Valley, CA 92708-4028

Mailing address

200 S Manchester Ave
Orange, CA 92868-3217
Phone (714) 456-8888

Other practice location 1

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8888

Other names 1

  • Regiane Rodrigues Soares Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130110000185 CA Practitioner - Radiation Oncology 0840443453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UC Regents Department of Radiation OncologyGroup PAC ID 7416904214, 16 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-5508

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
78.28 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
48.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
121499CAMDMarriage & Family Therapist
NO. A 121499CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Department of Radiation Oncology Radiation Oncology CurrentSince Dec 4, 2023 Accepting new patients
Genesiscare USA of California a Medical Corporation Radiation Oncology Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
The Regents of the University of California Past Accepting new patients
University of California Irvine Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients
West Hills Hospital Past Accepting new patients

Locations

11190 Warner Ave
Ste 115
Fountain Vly, CA 92708
Phone (714) 210-0140

3751 Katella Ave
Ste 115
Los Alamitos, CA 90720

3951 Katella Ave
Ste 102
Los Alamitos, CA 90720
Phone (562) 799-3196

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Interoperability endpoints

  • Direct secure messaging: rdeandrade177697@direct.memorialcare.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1922352467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683217",
            "telephone_number": "714-456-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE STE 115",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084028",
            "telephone_number": "714-210-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 The City Dr S",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "714-456-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE ANDRADE",
        "first_name": "REGIANE",
        "middle_name": "SOARES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "NO. A 121499",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A121499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGIANE",
            "last_name": "SOARES",
            "middle_name": "RODRIGUES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.