NPIMap

Individual provider Active NPI

Levon Qasabian, M.D

  • Specialist
  • West Hollywood, CA
National Provider Identifier
1396765996
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G66524 Issued in CA
Practice address
8737 Beverly Blvd
Suite # 203
West Hollywood, CA 90048-1828
Phone
(323) 525-1111
Fax
(323) 525-1100
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G66524 CA Primary

Addresses

Primary practice location

8737 Beverly Blvd
Suite # 203
West Hollywood, CA 90048-1828

Mailing address

PO Box 48107
Los Angeles, CA 90048-0107
Phone (323) 525-1118

Other identifiers 1

IdentifierTypeStateIssuer
TAX ID 954712812OtherCASYNERGY HEMATOLOGY ONCLOG

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
I20051108000588 CA Practitioner - Hematology/OncologyPractitioner - Family PracticePractitioner - Internal Medicine 7517950405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Synergy Hematology Oncology Medical Associates IncGroup PAC ID 8921091810, 7 clinicians

Practice addresses (Care Compare)

5363 Balboa Blvd
Suite 345
Encino, CA 91316-2835
Phone (818) 728-8444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G66524CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Hematology Oncology Medical Associates Inc Specialist CurrentSince Oct 1, 2000 Accepting new patients
Synergy Hematology Oncology Medical Associates, Inc. Specialist CurrentSince Feb 1, 2000 Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

5363 Balboa Blvd
Ste 345
Encino, CA 91316
Phone (818) 728-8444

8737 Beverly Blvd
Ste 203
West Hollywood, CA 90048
Phone (310) 659-9958

Organizations & group practices 6

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 4

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1396765996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900480107",
            "telephone_number": "323-525-1118",
            "fax_number": "818-303-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 BEVERLY BLVD",
            "address_2": "SUITE # 203",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481828",
            "telephone_number": "323-525-1111",
            "fax_number": "323-525-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QASABIAN",
        "first_name": "LEVON",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G66524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SYNERGY HEMATOLOGY ONCLOG",
            "identifier": "TAX ID 954712812",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.