Active NPI
Memorial Radiation Oncology Medical
- Radiation Oncology Physician
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- MEMORIAL RADIATION ONCOLOGY MEDICAL
- Practice address
- 24302 Paseo de Valencia
Laguna Hills, CA 92653-3115 - Phone
- (949) 452-8880
- Fax
- (949) 859-5980
- NPI assigned
- Dec 18, 2013
- Last updated
- Feb 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Asif R. Harsolia, MD
- Title
- MD/Authorized Official
- Phone
- (562) 492-6695
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | NU | Primary |
Addresses
Primary practice location
24302 Paseo de Valencia
Laguna Hills, CA 92653-3115
Mailing address
PO Box 844945
Los Angeles, CA 90084-4945
Phone (562) 492-6695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140527000000 | CA | Part B Supplier - Clinic/Group Practice | 6103049937 |
Receives reassigned benefits from 5 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fountain Valley, CA; Long Beach, CA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Radiation Oncology Physician
- Long Beach, CA
- NPI 1477984466
O20140527000000
-
- Radiation Oncology Physician
- Fountain Valley, CA
- NPI 1639509706
O20140527000000
National Provider Directory
National Provider DirectoryLocations
18111 Brookhurst St
Ste 300
Fountain Valley, CA 92708
Phone (714) 378-7000
18111 Brookhurst St
#300
Fountain Vly, CA 92708
Phone (714) 880-8200
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Radiation Oncology Physician
- Fountain Valley, CA
- NPI 1376565374
-
- Radiation Oncology Physician
- Fountain Valley, CA
- NPI 1093941171
-
- Radiation Oncology Physician
- Long Beach, CA
- NPI 1316956279
-
- Emergency Medicine Physician
- Orange, CA
- NPI 1043241094
-
- Radiation Oncology Physician
- Long Beach, CA
- NPI 1790045714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677024000000",
"number": "1306267380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844945",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900844945",
"telephone_number": "562-492-6695",
"fax_number": "562-988-0389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24302 PASEO DE VALENCIA",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533115",
"telephone_number": "949-452-8880",
"fax_number": "949-859-5980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL RADIATION ONCOLOGY MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-18",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A",
"authorized_official_last_name": "HARSOLIA",
"authorized_official_first_name": "ASIF",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "MD/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "562-492-6695",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.