Active NPI
Alexander C Black, MD
- Hematology & Oncology Physician
- Santa Clarita, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G58928
- Practice address
- 27235 Tourney Rd Ste 2400
Santa Clarita, CA 91355-5905 - Phone
- (661) 255-5350
- Fax
- (661) 255-9907
- NPI assigned
- Jul 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G58928 | CA | Primary |
| Internal Medicine Physician | 207R00000X | G58928 | CA |
Addresses
Primary practice location
27235 Tourney Rd Ste 2400
Santa Clarita, CA 91355-5905
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
625 S Fair Oaks Ave Ste 320
Pasadena, CA 91105-2674
Phone (626) 396-2999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G589280 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 497-2727
625 S Fair Oaks Ave
Suite 320
Pasadena, CA 91105-2674
Phone (626) 396-2999
Hospital & facility affiliations
- Henry Mayo Newhall Hospital
- Ronald Reagan UCLA Medical Center
- Huntington Hospital
- Ridgecrest Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 79.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G58928 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Internal Medicine | Current | Accepting new patients |
| Providence Health System - Southern California | Past | Accepting new patients | |
| UCLA Medical Group | Internal Medicine | Past | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| Henry Mayo Newhall Memorial Hospital | Past | Accepting new patients |
Locations
File 55737
Los Angeles, CA 90074
200 UCLA Medical Plz
Ste 265
Los Angeles, CA 90095
Phone (310) 206-2429
55737 File
Los Angeles, CA 90074
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
625 S Fair Oaks Ave
Ste 320
Pasadena, CA 91105
Phone (626) 356-3167
10 Congress St
Ste 502
Pasadena, CA 91105
Phone (626) 396-2999
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
2020 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 458-2381
27235 Tourney Rd
Valencia, CA 91355
Phone (661) 253-5851
23929 McBean Pkwy
Ste 215
Valencia, CA 91355
Phone (661) 255-5350
27235 Tourney Rd
Ste 2400
Valencia, CA 91355
Phone (661) 253-5851
Interoperability endpoints
- ablack60500@direct.uclahealth.org
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
-
- Critical Access Hospital
- Ridgecrest, CA
- NPI 1447253125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1104851500",
"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": "27235 TOURNEY RD STE 2400",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913555905",
"telephone_number": "661-255-5350",
"fax_number": "661-255-9907"
}
],
"practiceLocations": [
{
"address_1": "625 S Fair Oaks Ave Ste 320",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911052674",
"country_code": "US",
"telephone_number": "626-396-2999",
"fax_number": "626-396-2991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACK",
"first_name": "ALEXANDER",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G58928",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G58928",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G589280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.