NPIMap

Organization Active NPI

Greater Los Angeles Oncology Medical Corporation

  • Hematology & Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1295746394
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
GREATER LOS ANGELES ONCOLOGY MEDICAL CORPORATION
Practice address
1626 W Temple St
Los Angeles, CA 90026-5027
Phone
(213) 353-0610
Fax
(213) 353-4802
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Frederick Henry Rundall, MD
Title
Ceo
Phone
(213) 353-0610

Specialties & licenses 1

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

Addresses

Primary practice location

1626 W Temple St
Los Angeles, CA 90026-5027

Mailing address

1626 W Temple St
Los Angeles, CA 90026-5027
Phone (213) 353-0610

Other identifiers 7

IdentifierTypeStateIssuer
DB1410OtherRAILROAD MEDICARE
GR0086530MedicaidCA
GR0086531MedicaidCA
ZZZ08485ZOtherCABLUE SHIELD
CB2861OtherRAILROAD MEDICARE
GR0086533MedicaidCA
GR0086534MedicaidCA

Other names 1

  • Los Angeles Oncology Medical Group Former legal business name

National Provider Directory

National Provider Directory

Locations

1626 W Temple St
Los Angeles, CA 90026
Phone (213) 353-0610

440 S Broadway
Los Angeles, CA 90013
Phone (213) 623-3644

655 S Main St
Los Angeles, CA 90014
Phone (213) 623-3644

440 S Broadway
Ste G9
Los Angeles, CA 90013
Phone (213) 623-3644

1700 E Cesar E Chavez Ave
Ste 2400
Los Angeles, CA 90033
Phone (323) 263-6774

1711 W Temple St
Ste 6100
Los Angeles, CA 90026
Phone (213) 483-3991

1720 E Cesar E Chavez Ave
Ste 1512
Los Angeles, CA 90033
Phone (323) 265-5085

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1295746394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 W TEMPLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265027",
            "telephone_number": "213-353-0610",
            "fax_number": "213-353-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 W TEMPLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265027",
            "telephone_number": "213-353-0610",
            "fax_number": "213-353-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LOS ANGELES ONCOLOGY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "RUNDALL",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-353-0610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB1410",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086530",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086531",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ08485Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB2861",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086533",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086534",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Oncology Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.