Active NPI
Edward Robert Alexson, M.D.
- Hematology & Oncology Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G27314
- 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, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G273140 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Cancer and Blood Disorders | Hematology & Oncology | Current | 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.
-
dba CCBD
- Hematology & Oncology Physician
- Orange, CA
- NPI 1083132625
-
- Hematology & Oncology Physician
- Santa Ana, CA
- NPI 1104040674
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.