X-RAY MEDICAL GROUP RADIATION ONCOLOGY INC – Radiation Oncology Physician, NPI 1790724565
Radiation Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for X-RAY MEDICAL GROUP RADIATION ONCOLOGY INC
5725 KEARNY VILLA RD STE I
SAN DIEGO, CA 921231134
Phone: (858) 256-0351
Fax: (858) 256-0355
Type: Mailing
PO BOX 509015
DEPT 338
SAN DIEGO, CA 921509015
Phone:
Type: Mailing
7901 Frost St
San Diego, CA 921232701
Phone: (858) 939-5010
Fax: (858) 939-5021
Type: Location
769 Medical Center Ct
Chula Vista, CA 919116602
Phone: (619) 502-5851
Fax: (619) 502-5865
Type: Location
DEPT 338
PO BOX 509015
SAN DIEGO, CA 921509015
Phone:
Type: Mailing
Health Center Drive, Birdland, Linda Vista, San Diego, San Diego County, California, 92133, United States
LEVEL 0
SAN DIEGO, CA 92123
Phone: (858) 939-5010
Fax: (858) 939-5021
Type: Location
5555 GROSSMONT CENTER DR
LA MESA, CA 919423019
Phone: (619) 740-4500
Fax: (619) 740-8499
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040804001813 | O | Clinic/Group Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92123)
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