NPIMap

Organization Active NPI

Synergy Hematology Oncology Medical Associates Inc

Doing business as N/a

  • Specialist
  • West Hollywood, CA
National Provider Identifier
1164455960
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
05D0724185 Issued in CA
Legal business name
SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES INC
Doing business as
N/a
Practice address
8737 Beverly Blvd Ste 203
Synergy Hematology - Oncology Medical Associates, Inc.
West Hollywood, CA 90048-1840
Phone
(323) 525-1118
Fax
(818) 303-1306
NPI assigned
Jul 8, 2006
Last updated
May 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Michael Spector
Title
Administrator
Phone
(323) 525-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 05D0724185 CA Primary

Addresses

Primary practice location

8737 Beverly Blvd Ste 203
Synergy Hematology - Oncology Medical Associates, Inc.
West Hollywood, CA 90048-1840

Mailing address

P.O. Box 48107
Synergy Hematology - Oncology Medical Associates, Inc
Los Angeles, CA 90048-0107
Phone (323) 525-1118

Other identifiers 3

IdentifierTypeStateIssuer
2093822OtherCACORPORATE ID
GR0084551MedicaidCA
GR0084550MedicaidCA

Other names 1

  • N/A Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040406001330 CA Part B Supplier - Clinic/Group Practice 8921091810 Receives reassigned benefits from 8 practitioners
Practice locations: Encino, CA; West Hollywood, CA
O20120625000567 CA DME Supplier - Physician - Hematology/Oncology 8921091810 Practice locations: West Hollywood, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0724185Synergy Hematology Oncology8737 Beverly Blvd, Ste 203, Los Angeles, CA 90048ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

9736 Venice Blvd
Culver City, CA 90232
Phone (310) 559-6634

2080 Century Park E
Ste 1208
Los Angeles, CA 90067
Phone (310) 247-9255

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1164455960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 48107",
            "address_2": "SYNERGY HEMATOLOGY - ONCOLOGY MEDICAL ASSOCIATES, INC",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900480107",
            "telephone_number": "323-525-1118",
            "fax_number": "818-303-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 BEVERLY BLVD STE 203",
            "address_2": "SYNERGY HEMATOLOGY - ONCOLOGY MEDICAL ASSOCIATES, INC.",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481840",
            "telephone_number": "323-525-1118",
            "fax_number": "818-303-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-525-1118"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "05D0724185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE ID",
            "identifier": "2093822",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0084551",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0084550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.