Individual provider Active NPI

Edward Robert Alexson, M.D.

  • Hematology & Oncology Physician
  • Santa Ana, CA
National Provider Identifier
1154363141
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G27314 Issued in CA
Practice address
1401 N Tustin Ave
Suite 220
Santa Ana, CA 92705-8689
Phone
(714) 835-4800
Fax
(714) 835-1900
NPI assigned
Jun 12, 2006
Last updated
Sep 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G27314 CA Primary

Addresses

Primary practice location

1401 N Tustin Ave
Suite 220
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

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
I20050121000270 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7012966526 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Cancer and Blood Disorders Hematology & Oncology CurrentSince Mar 1, 2018 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

363 S Main St
#485
Orange, CA 92868
Phone (714) 835-4800

1401 N Tustin Ave
Ste 220
Santa Ana, CA 92705
Phone (714) 543-6020

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1154363141",
    "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 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058689",
            "telephone_number": "714-835-4800",
            "fax_number": "714-835-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXSON",
        "first_name": "EDWARD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_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

Verify at the official NPI Registry.