Provider Demographics
NPI:1194815134
Name:HASTINGS, JOSEPH RAYMOND (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RAYMOND
Last Name:HASTINGS
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 HOMESTEAD RD
Mailing Address - Street 2:KAISER PERMANENTE CANCER TREATMENT CENTER
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-4542
Mailing Address - Country:US
Mailing Address - Phone:408-851-8000
Mailing Address - Fax:
Practice Address - Street 1:3800 HOMESTEAD RD
Practice Address - Street 2:KAISER PERMANENTE CANCER TREATMENT CENTER
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-4542
Practice Address - Country:US
Practice Address - Phone:408-851-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANA207R00000X
CAA1021262085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine