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LA JOLLA RADIOLOGY MEDICAL GROUP THERAPY, INC
NPI 1023185428
Clinic/Center - Oncology, Radiation in La Jolla, CA

Active since November 29, 2006
9888 GENESEE AVE, LA JOLLA, CA 92037(760) 599-9545(760) 599-9549 Get Directions Write a Review

NPPES record last updated: February 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About La Jolla Radiology Medical Group Therapy, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA JOLLA RADIOLOGY MEDICAL GROUP THERAPY, INC (NPI 1023185428) is a healthcare organization registered as an oncology, radiation in La Jolla, California and active in the NPI registry since November 2006. The organization lists Elizabeth Bourbeau, Manager, as its authorized official.

NPPES Registry Identity

NPI1023185428
Entity TypeOrganization
Primary Taxonomy261QX0203X
Legal Business NameLA JOLLA RADIOLOGY MEDICAL GROUP THERAPY, INC
Location Address9888 GENESEE AVELa Jolla, CA 92037-1205
Mailing Address916 Sycamore AveVista, CA 92081-7815 · (760) 599-9545 · Fax (760) 599-9549
Phone(760) 599-9545
Fax(760) 599-9549
Organization SubpartNo
Authorized OfficialElizabeth BourbeauManager · (760) 599-9545
Enumeration DateNovember 29, 2006
Last NPPES UpdateFebruary 1, 2008
✔ NPI 1023185428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oncology, RadiationAmbulatory Health Care Facilities
Taxonomy Code261QX0203X
9888 GENESEE AVE, La Jolla, CA 92037
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Other Identifiers 3

Medicaid00G385890CA
Medicaid00G501610CA
Medicare PINHW10546CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KIERSTEN DUTRA RN
Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 834-1798
JOSHUA JINHONG PARK PHARMD
Pharmacist
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 305-4336
DR. MONTE TIM MELLON M.D. M.B.A.
Emergency Medicine
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 626-6150
JAMES G. SCHWENDIG M.D.
Surgery (Trauma Surgery)
9888 GENESEE AVE, LJ-601
LA JOLLA, CA 92037
San Diego County (858) 626-6350
AMY EVENSTAD PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9888 GENESEE AVE, LJ 18
LA JOLLA, CA 92037
San Diego County (858) 626-4606
RYAN FONG
Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 834-1798
CHRISTOPHER LUCAS WALSH M.D.
Internal Medicine
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (410) 428-7710
LACY MARIE JONES CNM
Advanced Practice Midwife
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 882-8350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Jolla Radiology Medical Group Therapy, Inc's NPI number?

The NPI number for La Jolla Radiology Medical Group Therapy, Inc is 1023185428. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is La Jolla Radiology Medical Group Therapy, Inc located?

La Jolla Radiology Medical Group Therapy, Inc is located at 9888 Genesee Ave, La Jolla, CA 92037. The listed phone number is (760) 599-9545.

What is La Jolla Radiology Medical Group Therapy, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, Radiation, with taxonomy code 261QX0203X.

When was this NPI record last updated?

The NPPES record for La Jolla Radiology Medical Group Therapy, Inc was last updated on February 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.