NPIMap

Individual provider Active NPI

Asif R. Harsolia, M.D.

  • Radiation Oncology Physician
  • Fountain Valley, CA
National Provider Identifier
1376565374
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A99453 Issued in CA
Practice address
18111 Brookhurst St
Ste 0300
Fountain Valley, CA 92708-6728
Phone
(714) 962-7100
NPI assigned
Jul 25, 2006
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35670 AZ
Radiation Oncology Physician 2085R0001X A99453 CA Primary

Addresses

Primary practice location

18111 Brookhurst St
Ste 0300
Fountain Valley, CA 92708-6728

Mailing address

2650 Elm Ave
Ste 201
Long Beach, CA 90806-1651
Phone (562) 492-6695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070921000759 CA Practitioner - Radiation Oncology 7012912702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Michigan Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18111 Brookhurst St
Ll0300
Fountain Valley, CA 92708-6728
Phone (714) 962-7100

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.23 of 100Reported as group
Quality
69.8
Improvement activities
40
Cost
75.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A99453CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Radiation Oncology Medical Radiation Oncology CurrentSince Mar 1, 2014 Accepting new patients
Memorial Radiation Oncology Medical Radiation Oncology CurrentSince Mar 1, 2014 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Arizona Radiation Therapy Management Services Inc Past Accepting new patients
VHS Acquisition Subsidiary Number 1 Inc Past Accepting new patients
Honorhealth Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Memorial Radiation Oncology Medical Radiation Oncology Past Accepting new patients
Honorhealth Past Accepting new patients

Locations

18111 Brookhurst St
Ste 300
Fountain Valley, CA 92708
Phone (714) 378-7000

18111 Brookhurst St
Ste LL300
Fountain Valley, CA 92708
Phone (714) 962-7100

18111 Brookhurst St
#300
Fountain Vly, CA 92708
Phone (714) 880-8200

24302 Paseo de Valencia
Laguna Hills, CA 92653
Phone (949) 452-8880

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aharsoliamd77249@direct.memorialcare.org

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1376565374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 ELM AVE",
            "address_2": "STE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061651",
            "telephone_number": "562-492-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST",
            "address_2": "STE 0300",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-962-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSOLIA",
        "first_name": "ASIF",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "35670",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A99453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.