Mission Viejo Radiation Oncology Corp.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

G49709 Issued in CA

Legal business name

MISSION VIEJO RADIATION ONCOLOGY CORP.

Practice address

27799 Medical Center Rd
Ste 120
Mission Viejo, CA 92691-6426

Phone

(949) 573-9560

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Young, MD

Title

Owner

Phone

(949) 573-9560

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mission Viejo Radiation Oncology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

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

• Gene-Fu Liu, M.D.

  • Therapeutic Radiology Physician
  • Chicago, IL
  • NPI 1639306426

  CA

  Medicare reassignment Care Compare group NPD
• William W Chou, MD

  • Radiation Oncology Physician
  • Mission Viejo, CA
  • NPI 1790713253
  Medicare reassignment Care Compare group
• Elizabeth C Hyden, MD

  • Radiation Oncology Physician
  • Mission Viejo, CA
  • NPI 1780610196
  NPD
• Michael M Lock, MD

  • Radiation Oncology Physician
  • Mission Viejo, CA
  • NPI 1154357564
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1932135472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515445",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900516745",
            "telephone_number": "949-573-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27799 MEDICAL CENTER RD",
            "address_2": "STE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916426",
            "telephone_number": "949-573-9560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27800 Medical Center Rd",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916410",
            "country_code": "US",
            "telephone_number": "949-364-9120",
            "fax_number": "949-364-8465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSION VIEJO RADIATION ONCOLOGY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-573-9560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G49709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0103710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Viejo Radiation Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Viejo Radiation Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mission Viejo Emergency Medical Associates
• Mission Viejo Endoscopy Partners, LLC
• Mission Viejo Family Medical Center
• Mission Viejo Modern Dentistry, Prof. Corp.
• Mission Viejo Office
• Misson OB/GYN Medical Group, Inc.
• Sean Mitchell, LMFT
• Madonna Victor Fawzi Mitri
• Michael I Miyamoto, M.D.
• Talah Moaddab

• Radiation Oncology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.