Active NPI
Phillip J Beron, MD
- Radiation Oncology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- G81089
- Practice address
- 200 Medical PLZ
Los Angeles, CA 90095-0001 - Phone
- (310) 825-0128
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | G81089 | CA | Primary |
Addresses
Primary practice location
200 Medical PLZ
Los Angeles, CA 90095-0001
Mailing address
5767 W Century Blvd
Suite 200
Los Angeles, CA 90045-5631
Phone (310) 825-0128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G810890 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Wayne State University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000
2915 W Rose Garden LN
Phoenix, AZ 85027-3127
Phone (623) 207-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.52 of 100
- Quality
- 66.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81089 | CA | MD | Pharmacist |
| G81089 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Arizona LLC | Radiation Oncology | Current | Accepting new patients |
| Santa Clarita Radiotherapy Medical Group | Radiation Oncology | Past | Accepting new patients |
| Rotating Gamma Institute Orange | Past | Accepting new patients | |
| Westside Radiation Oncology Medical Group Inc | Radiation Oncology | Past | Accepting new patients |
| Valley Radiotherapy Associates Medical Group Inc | Past | Accepting new patients | |
| City of Hope Medical Group of Arizona LLC | Past | Accepting new patients |
Locations
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
2915 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 207-3000
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
Interoperability endpoints
- philip.beron.p2@direct.ctca-clinic.nextgenshare.com
Organizations & group practices 6
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.
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Radiation Oncology
-
- Radiation Oncology Clinic/Center
- Anaheim, CA
- NPI 1073754255
-
- Radiation Oncology Physician
- Santa Clarita, CA
- NPI 1497782692
-
- Specialist
- Manhattan Beach, CA
- NPI 1437102092
-
- Radiation Oncology Physician
- West Hollywood, CA
- NPI 1952350993
-
- Medical Oncology Physician
- Phoenix, AZ
- NPI 1801397658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271289600000",
"number": "1083698237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD",
"address_2": "SUITE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-825-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL PLZ",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-825-0128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERON",
"first_name": "PHILLIP",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2010-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "G81089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G810890",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.