Victory Hematology and Oncology Inc

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

License

A107300 Issued in CA

Legal business name

VICTORY HEMATOLOGY AND ONCOLOGY INC

Practice address

4940 Van Nuys Blvd Ste 207
Sherman Oaks, CA 91403-1700

Phone

(818) 616-3998

Fax

(818) 688-0138

NPI assigned

Mar 18, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sujie TangNPI 1134302409

Title

President

Phone

(818) 651-3819

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sujie Tang, M.D.

  • Hematology & Oncology Physician
  • Sherman Oaks, CA
  • NPI 1134302409
  Medicare reassignment Authorized official
• Viktoriya Kaganskaya, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1134669989
  NPD
• Angela Evelyn Zalabak, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Sherman Oaks, CA
  • NPI 1376387282
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1023402872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 207",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031700",
            "telephone_number": "818-616-3998",
            "fax_number": "818-688-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 207",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031700",
            "telephone_number": "818-616-3998",
            "fax_number": "818-688-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HEMATOLOGY AND ONCOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "SUJIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-651-3819"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "CA",
            "license": "A107300",
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "CA",
            "license": "A107300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB232904",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ventura Care Medical Clinic
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• Veronika Glusker, Psy.D., Inc., a Psychological Corporation
• Vicamin Home Health Inc
• Hayden Ashley Victor, MMFT
• Vida Family Services
• Vida Therapy Marriage Family and Child Counceling Inc.
• Tyler Vida
• Vidacare
• Jennifer Vidrio

• Oncology Clinic/Center in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Oncology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.