Individual provider Active NPI

Saro Kasparian, M.D.

  • Hematology & Oncology Physician
  • Glendale, CA
National Provider Identifier
1104350917
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A166690 Issued in CA
Practice address
1505 Wilson Ter Ste 200
Glendale, CA 91206-4073
Phone
(818) 409-0105
Fax
(818) 409-0151
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X A166690 CA Primary

Addresses

Primary practice location

1505 Wilson Ter Ste 200
Glendale, CA 91206-4073

Mailing address

541 W Colorado St Ste 205
Glendale, CA 91204-3640
Phone (323) 794-1403

Other practice location 1

222 W Eulalia St Ste 100C
Glendale, CA 91204-2850
Phone (818) 553-8160

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
I20230811001783 CA Practitioner - Hematology/Oncology 7214353788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1505 Wilson Ter
Suite 200
Glendale, CA 91206-4073
Phone (818) 409-0105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A166690CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Hematology-Oncology Medical Group Hematology & Oncology Current Accepting new patients
Los Angeles Hematology-Oncology Medical Group Hematology & Oncology CurrentSince Sep 1, 2023 Accepting new patients
Los Angeles Hematology-Oncology Medical Group Hematology & Oncology CurrentSince Sep 1, 2023 Accepting new patients
Los Angeles Cardiology Associates Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 103
Anaheim, CA 92801
Phone (714) 535-3660

3808 W Riverside Dr
Ste 302
Burbank, CA 91505
Phone (818) 538-7040

260 E Ontario Ave
Ste 101
Corona, CA 92879
Phone (951) 268-7746

222 W Eulalia St
Ste 100C
Glendale, CA 91204
Phone (818) 553-8160

1505 Wilson Ter
Ste 200
Glendale, CA 91206
Phone (818) 243-0477

541 W Colorado St
Ste 205
Glendale, CA 91204
Phone (323) 254-0046

1300 N Vermont Ave
Ste 903
Los Angeles, CA 90027
Phone (213) 570-8404

2080 Century Park E
Ste 1005
Los Angeles, CA 90067
Phone (310) 229-3535

1245 Wilshire Blvd
Ste 303
Los Angeles, CA 90017
Phone (213) 977-1214

11550 Indian Hills Rd
Ste 211
Mission Hills, CA 91345
Phone (323) 410-9827

433 N 4th St
Ste 207
Montebello, CA 90640
Phone (323) 721-1388

50 Alessandro Pl
Ste 310
Pasadena, CA 91105
Phone (626) 288-0008

5525 Etiwanda Ave
Ste 200
Tarzana, CA 91356
Phone (818) 528-1290

15211 Vanowen St
Ste 201
Van Nuys, CA 91405
Phone (818) 574-3798

15211 Vanowen St
Ste 300
Van Nuys, CA 91405
Phone (818) 782-4104

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1104350917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W COLORADO ST STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043640",
            "telephone_number": "323-794-1403",
            "fax_number": "323-488-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064073",
            "telephone_number": "818-409-0105",
            "fax_number": "818-409-0151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W Eulalia St Ste 100C",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912042850",
            "country_code": "US",
            "telephone_number": "818-553-8160",
            "fax_number": "818-553-8152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASPARIAN",
        "first_name": "SARO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A166690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.