Active NPI
Rio Bravo Oncology Inc.
- Radiation Oncology Physician
- Bakersfield, CA
National Provider Identifier
1962859793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 71358
- Legal business name
- RIO BRAVO ONCOLOGY INC.
- Practice address
- 4500 Morning Dr
Suite 105
Bakersfield, CA 93306-7275 - Phone
- (661) 491-5060
- NPI assigned
- May 23, 2016
- 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
- Randall A Scharlach
- Title
- MD
- Phone
- (214) 681-9034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 71358 | CA | Primary |
Addresses
Primary practice location
4500 Morning Dr
Suite 105
Bakersfield, CA 93306-7275
Mailing address
Dept la 24552
Pasadena, CA 91185-4522
Phone (214) 681-9034
National Provider Directory
National Provider DirectoryLocations
Dept LA 24522
Pasadena, CA 91185
Dept LA 24552
Pasadena, CA 91185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586476800000",
"number": "1962859793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT LA 24552",
"city": "PASADENA",
"state": "CA",
"postal_code": "911854522",
"telephone_number": "214-681-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MORNING DR",
"address_2": "SUITE 105",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933067275",
"telephone_number": "661-491-5060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIO BRAVO ONCOLOGY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-23",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A",
"authorized_official_last_name": "SCHARLACH",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "214-681-9034"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "71358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.