Northern California Radiation Therapists & Oncologists Medical Group

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

G12439 Issued in CA

Legal business name

NORTHERN CALIFORNIA RADIATION THERAPISTS & ONCOLOGISTS MEDICAL GROUP

Practice address

900 Hyde St
Radiation Oncology Dept
San Francisco, CA 94109-4806

Phone

(209) 342-2300

Fax

(209) 524-4240

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

John L Meyer, MD

Title

Medical Director

Phone

(209) 342-2300

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Northern California Radiation Therapists Oncologists Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northern California Radiation Therapists & Oncologists Medical Group

  • Radiation Oncology Physician
  • Daly City, CA
  • NPI 1053595447
  NPD tax ID
• Northern California Radiation Therapists & Oncologists Medical Group I

  • Radiation Oncology Physician
  • San Francisco, CA
  • NPI 1720069891
  NPD tax ID

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1972785160",
    "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": "900 HYDE ST",
            "address_2": "RADIATION ONCOLOGY DEPT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094806",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA RADIATION THERAPISTS & ONCOLOGISTS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "209-342-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G12439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ77840Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ77840Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northbay Podiatric Medical GRP Inc
• Northcal Hospice and Palliative Care
• Kate Northcott, MFC
• Northern California Anesthesia
• Northern California Anesthesia Physicians
• Northern California Radiation Therapists & Oncologists Medical Group I
• Northern California Society to Prevent Blindness
• Karen Kay Northrop
• Aaron T Norton, AMFT
• Brian Norton

• Radiation Oncology Physician in San Francisco, CA
• Providers in San Francisco, 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 Nov 29, 2007; 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.