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NORTHERN CALIFORNIA RADIATION THERAPISTS & ONCOLOGISTS MEDICAL GROUP NPI 1720069891


NPI Information

NPI: 1720069891
Provider Name: NORTHERN CALIFORNIA RADIATION THERAPISTS & ONCOLOGISTS MEDICAL GROUP
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
2333 BUCHANAN ST
SAN FRANCISCO, CA
ZIP 94115
Phone: (209) 342-2300
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NORTHERN CALIFORNIA RADIATION THERAPISTS & ONCOLOGISTS MEDICAL GROUP is a radiation oncology radiology in San Francisco, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. NORTHERN CALIFORNIA RADIATION THERAPISTS & ONCOLOGISTS MEDICAL GROUP NPI is 1720069891. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2333 BUCHANAN ST
SAN FRANCISCO, CA
ZIP 94115-925
Phone: (209) 342-2300
Fax: (209) 524-4240

The provider's authorized official is Daniel Leo Glaubiger .
The authorized official title is Medical Director and has the following contact phone number (209) 342-2300.

The enumeration date for this NPI number is 11/7/2005 and was last updated on 12/6/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation Oncology102829CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ77840ZMEDICARE PINCALIFORNIA
2ZZZ75605ZMEDICARE PINCALIFORNIA
3ZZZ75605ZOTHERCALIFORNIABLUE SHIELD
4ZZZ77840ZOTHERCALIFORNIABLUE SHIELD
5ZZZ27539ZOTHERCALIFORNIABLUE SHIELD
6ZZZ86312ZMEDICARE PINCALIFORNIA
7ZZZ27539ZMEDICARE PINCALIFORNIA
8GR0054561MEDICAIDCALIFORNIA
9ZZZ75605ZMEDICAIDCALIFORNIA
10ZZZ77840ZMEDICAIDCALIFORNIA
11ZZZ86312ZMEDICAIDCALIFORNIA
12ZZZ86312ZOTHERCALIFORNIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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