R Robert Wycoff MD Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

R ROBERT WYCOFF MD INC

Practice address

751 Cordova St
Ste 1
Pasadena, CA 91101-2617

Phone

(626) 577-2424

Fax

(626) 577-2995

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Edmund Wycoff, BA

Title

Administrator

Phone

(626) 577-2525

Specialties & licenses 2

Addresses

Other names 1

• Oak Tree Radiology Medical Corp Doing business as

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1972607091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 CORDOVA ST",
            "address_2": "STE 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012617",
            "telephone_number": "626-577-2424",
            "fax_number": "626-577-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 CORDOVA ST",
            "address_2": "STE 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012617",
            "telephone_number": "626-577-2424",
            "fax_number": "626-577-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R ROBERT WYCOFF MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "WYCOFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-577-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Tree Radiology Medical Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thea Quiton
• Hassan I Qureshi, DO
• Tarannum S Qureshi, PA-C
• Afrina Qutubuddin, M.D.
• R & R Clinical & Medical Corp
• R. Clark Davis, M.D., Inc.
• R. Starr Dental, Inc.
• R&R Clinical
• Ibrahim A Rabadi
• Anayda Abigail Rabanales Reyes

• Diagnostic Radiology Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.