Individual provider Active NPI

Andrew Gabriel Horodner, M.D.

  • Hematology & Oncology Physician
  • Redondo Beach, CA
National Provider Identifier
1386849974
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A81801 Issued in CA
Practice address
514 N Prospect Ave FL 4
Redondo Beach, CA 90277-3040
Phone
(310) 750-3300
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A81801 CA Primary

Addresses

Primary practice location

514 N Prospect Ave FL 4
Redondo Beach, CA 90277-3040

Mailing address

514 N Prospect Ave FL 4
Redondo Beach, CA 90277-3040
Phone (310) 750-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050611000011 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8224072202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Arizona College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

510 N Prospect Ave
Suite 120
Redondo Beach, CA 90277-3032
Phone (310) 750-3300

514 N Prospect Ave
FL 4
Redondo Beach, CA 90277-3040
Phone (310) 750-3300

Hospital & facility affiliations

  • Hollywood Home Health Services Home health agency, N Hollywood, CA, CCN 058310
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81801CAMDPharmacist
A81801CAMDHematology & Oncology Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc CurrentSince Sep 1, 2013 Accepting new patients
County of Los Angeles CurrentSince Oct 16, 2011 Accepting new patients
County of Los Angeles CurrentSince Oct 16, 2011 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

514 N Prospect Ave
Redondo Beach, CA 90277
Phone (310) 379-6671

3285 Skypark Dr
Torrance, CA 90505
Phone (310) 517-7077

3440 Lomita Blvd
Ste 252
Torrance, CA 90505
Phone (310) 373-6039

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: andrew.horodner@redondo.ikm.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1386849974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N PROSPECT AVE FL 4",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773040",
            "telephone_number": "310-750-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N PROSPECT AVE FL 4",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773040",
            "telephone_number": "310-750-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORODNER",
        "first_name": "ANDREW",
        "middle_name": "GABRIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A81801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.