Long Beach Radiation Oncology Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LONG BEACH RADIATION ONCOLOGY MEDICAL GROUP

Practice address

2801 Atlantic Ave
Long Beach, CA 90806-1701

Phone

(562) 933-0300

Fax

(562) 933-0301

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Syed Ziaulla

Title

Administrator

Phone

(562) 492-6695

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Ajmel A Puthawala, M.D.

  • Radiation Oncology Physician
  • Fountain Valley, CA
  • NPI 1245249325
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982619680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 ELM AVE",
            "address_2": "SUITE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061651",
            "telephone_number": "562-492-6695",
            "fax_number": "562-988-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-0300",
            "fax_number": "562-933-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH RADIATION ONCOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIAULLA",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-492-6695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0047850",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ96707Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Long Beach Post Acute LLC
• Long Beach Prescription Pharmacy 2
• Long Beach Prescription Pharmacy Inc
• Long Beach Prime Medical Group Inc
• Long Beach Quest Dialysis Center
• Long Beach Recovery, Inc.
• Long Beach Shores Behavioral Health
• Long Beach Sleep Institute
• Long Beach Spine & Rehabilitation
• Long Beach Spine & Rehabilitation Chiropractic Health Center

• Specialist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.