ROHNERT PARK CANCER CENTER
NPI 1649280520
Radiology - Radiation Oncology in Rohnert Park, CA
NPI Status: Active since August 09, 2006
Contact Information
301 PROFESSIONAL CENTER DR
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 584-2200
Fax: (707) 584-7582
- Organization
- Radiology
- Radiation Oncology
- CLIA Number: 05D2100777
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 08-20-2027
About ROHNERT PARK CANCER CENTER
This page provides the complete NPI Profile along with additional information for Rohnert Park Cancer Center, a provider established in Rohnert Park, California operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1649280520 assigned on August 2006. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Rohnert Park Cancer Center. The authorized official of this NPI record is Dr. Jonathan Humphrey Md (Medical Director)
- NPI
- 1649280520
- Provider Legal Name
- CANCER THERAPY MEDICAL GROUP INC
- Other Organization Name
- ROHNERT PARK CANCER CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 301 PROFESSIONAL CENTER DR ROHNERT PARK, CA 94928
- Location Phone
- (707) 584-2200
- Location Fax
- (707) 584-7582
- Mailing Address
- PO BOX 756 DANVILLE, CA 94526
- Mailing Phone
- (877) 866-0914
- Mailing Fax
- (707) 584-7582
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-09-2006
- Last Update Date
- 04-04-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Radiation Oncology
- Taxonomy Code
- 2085R0001X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0092410 | MEDICAID (05) | CA | |
| DC7191 | OTHER (01) | RAILROAD MCARE | |
| ZZZ04964Z | OTHER (01) | BLUE SHIELD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2100777
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- August 21, 2025
- Certificate Expiration Date
- August 20, 2027
- Laboratory Director
- REBECCA KATZ
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Rohnert Park Cancer Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1649280520, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649280520, enumerated as an "organization" on August 09, 2006.
The provider is located at 301 PROFESSIONAL CENTER DR ROHNERT PARK, CA 94928 and the phone number is (707) 584-2200.
Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
