NPIMap

Organization Active NPI

Edward R. Alexson, M.D.,Inc

  • Hematology & Oncology Physician
  • Santa Ana, CA
National Provider Identifier
1104040674
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G27314 Issued in CA
Legal business name
EDWARD R. ALEXSON, M.D.,INC
Practice address
1401 N Tustin Ave
Suite a
Santa Ana, CA 92705-8689
Phone
(714) 835-4800
Fax
(714) 835-1900
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Dr. Edward Robert Alexson, M.D.
Title
Doctor
Phone
(714) 835-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X G27314 CA Primary

Addresses

Primary practice location

1401 N Tustin Ave
Suite a
Santa Ana, CA 92705-8689

Mailing address

1401 N Tustin Ave
Suite 220
Santa Ana, CA 92705-8689
Phone (714) 835-4800

Other identifiers 1

IdentifierTypeStateIssuer
00G273140MedicaidCA

National Provider Directory

National Provider Directory

Locations

1401 N Tustin Ave
Ste A
Santa Ana, CA 92705
Phone (714) 835-4800

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1104040674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVE",
            "address_2": "SUITE 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058689",
            "telephone_number": "714-835-4800",
            "fax_number": "714-835-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVE",
            "address_2": "SUITE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058689",
            "telephone_number": "714-835-4800",
            "fax_number": "714-835-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD R. ALEXSON, M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "ALEXSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "714-835-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G27314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G273140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.