Organization Active NPI

Immuno-Oncology Clinic Inc.

Doing business as Chan Soon Shiong Institute For Medicine

  • Medical Oncology Physician
  • El Segundo, CA
National Provider Identifier
1215463799
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
IMMUNO-ONCOLOGY CLINIC INC.
Doing business as
Chan Soon Shiong Institute For Medicine
Practice address
2040 E Mariposa Ave
El Segundo, CA 90245-5027
Phone
(213) 266-5600
Fax
(562) 548-2304
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Dr. Leonard S SenderNPI 1952499741
Title
President
Phone
(714) 615-2350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X
Medical Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RX0202X Primary

Addresses

Primary practice location

2040 E Mariposa Ave
El Segundo, CA 90245-5027

Mailing address

2040 E Mariposa Ave
El Segundo, CA 90245-5027
Phone (213) 266-5600

Other names 1

  • Chan Soon Shiong Institute For Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170711002269 CA Part B Supplier - Clinic/Group Practice 0244509057 Receives reassigned benefits from 5 practitioners
Practice locations: El Segundo, 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
05D2144811Chan Soon-Shiong Institute for Medicine2040 E Mariposa, El Segundo, CA 90245AccreditationJul 2, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1215463799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 E MARIPOSA AVE",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455027",
            "telephone_number": "213-266-5600",
            "fax_number": "562-548-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 E MARIPOSA AVE",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455027",
            "telephone_number": "213-266-5600",
            "fax_number": "562-548-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUNO-ONCOLOGY CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "SENDER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-615-2350",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chan Soon Shiong Institute For Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.