Individual provider Active NPI

John Vidyadhar Hegde, M.D.

  • Radiation Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1063859874
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A133952 Issued in CA
Practice address
UCLA Medical Center Department of Radiation
200 UCLA Medical Center, Suite B265
Los Angeles, CA 90095-0001
Phone
(310) 825-9775
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A133952 CA Primary

Addresses

Primary practice location

UCLA Medical Center Department of Radiation
200 UCLA Medical Center, Suite B265
Los Angeles, CA 90095-0001

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180529002388 CA Practitioner - Radiation Oncology 8123383965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Harvard Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 3274573464, 32 clinicians
UCLA Radiology Medical GroupGroup PAC ID 8921902065, 193 clinicians

Practice addresses (Care Compare)

1223 16TH St
Santa Monica, CA 90404-1217

200 UCLA Med Plaza
B265
Los Angeles, CA 90024-6951
Phone (310) 825-9304

27235 Tourney Rd
Suite 1400
Valencia, CA 91355-5908
Phone (661) 287-0010

300 UCLA Medical PLZ
Suite B130
Los Angeles, CA 90095-8346
Phone (310) 206-0456

757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-8021

860 Park View Dr N
El Segundo, CA 90245-4914
Phone (310) 794-7301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.28 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
48.88

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
62.91
Promoting interoperability
100
Improvement activities
40
Cost
68.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A133952CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCLA Radiology Medical Group Radiation Oncology CurrentSince Jul 6, 2021 Accepting new patients
The Regents of the University of California Radiation Oncology CurrentSince Jul 1, 2018 Accepting new patients
UCLA Medical Group Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

2400 Bahamas Dr
Bakersfield, CA 93309
Phone (661) 328-2333

200 UCLA Medical Plz
Ste B265
Los Angeles, CA 90095
Phone (310) 267-9099

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

1223 16th St
Ste 1100
Santa Monica, CA 90404
Phone (310) 794-4733

100 Moody Ct
Thousand Oaks, CA 91360
Phone (805) 418-3500

27235 Tourney Rd
Ste 1400
Valencia, CA 91355
Phone (661) 253-5858

Interoperability endpoints

  • Direct secure messaging: jhegde300338@direct.uclahealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1063859874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCLA MEDICAL CENTER DEPARTMENT OF RADIATION",
            "address_2": "200 UCLA MEDICAL CENTER, SUITE B265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGDE",
        "first_name": "JOHN",
        "middle_name": "VIDYADHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A133952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.