Look up the most recent NPI and PECOS records

Radiation Medical Group

Specialist

Other Service Providers

5395 Ruffin Rd, Ste 103b, San Diego, CA 92123-1338

PECOS Enrollment

Based on the most recent information from CMS, provider Radiation Medical Group does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1902848740
Provider Type
Organization
Full Name
Radiation Medical Group

Subpart
No
Enumeration Date
6/12/2006
Last Updated
8/22/2020

Contact Information

Practice Location

5395 Ruffin Rd, Ste 103b, San Diego, CA 92123-1338

(619) 505-0400

Unlisted Fax

Mailing Location

4025 Camino Del Rio S, Ste 101, San Diego, CA 92108-4107

(619) 220-4100

Unlisted Fax

Authorized Official

Myking, Douglas (Executive Director/Cfo)

(619) 220-4100

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer

Radiation Medical Group

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Hemorrhoid Care Medical Clinic

Ocampo, Annie Fabiola

Hodapp, John Michael

M. Joshua Cohen, M.D. Inc.

Gastric Banding Medical Group Inc

Gastric Banding Medical Group

Harris, Thomas William

Cleary, John Nmn

Saenz, Grace

The Radiation Medical Group Inc