Active NPI
Adrese Michael Kandahari, M.D.
- Hematology & Oncology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A179844
- Practice address
- 11800 Wilshire Blvd Ste 200
Los Angeles, CA 90025-6602 - Phone
- (310) 231-2121
- NPI assigned
- Apr 20, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | T8239 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | A179844 | CA | |
| Hematology & Oncology Physician | 207RH0003X | A179844 | CA | Primary |
Addresses
Primary practice location
11800 Wilshire Blvd Ste 200
Los Angeles, CA 90025-6602
Mailing address
4140 W 190TH St FL 2
Torrance, CA 90504-5513
Phone (310) 231-2121
Other practice location 1
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 947-6700
Other practice location 2
100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000
Other practice location 3
1215 Lee St
Box 800719
Charlottesville, VA 22908-0816
Phone (434) 924-2150
Other practice location 4
1215 Lee St
Box 800719
Charlottesville, VA 22908-0816
Phone (434) 924-2150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160802000962 | VA | Order and Referring Only - General Surgery | 9335433135 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A179844 | CA | MD | Internal Medicine Physician |
| T8239 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Past | Accepting new patients |
Interoperability endpoints
- akandahari563727@direct.llu.edu
Organizations & group practices 1
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1134573629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST FL 2",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513",
"telephone_number": "310-231-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 WILSHIRE BLVD STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256602",
"telephone_number": "310-231-2121"
}
],
"practiceLocations": [
{
"address_1": "1441 N Beckley Ave",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75203",
"country_code": "US",
"telephone_number": "214-947-6700",
"fax_number": "214-947-6701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Woods Rd",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "105951530",
"country_code": "US",
"telephone_number": "914-493-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Lee St",
"address_2": "Box 800719",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080816",
"country_code": "US",
"telephone_number": "434-924-2150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Lee St",
"address_2": "Box 800719",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080816",
"country_code": "US",
"telephone_number": "434-924-2150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANDAHARI",
"first_name": "ADRESE",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-20",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "T8239",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A179844",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A179844",
"primary": true
}
],
"identifiers": [],
"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 Jul 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.