NPIMap

Organization Active NPI

California Cancer Specialists Medical Group

Doing business as City of Hope Medical Group

  • Clinical Medical Laboratory
  • Pasadena, CA
National Provider Identifier
1417087933
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CALIFORNIA CANCER SPECIALISTS MEDICAL GROUP
Doing business as
City of Hope Medical Group
Practice address
50 Bellefontaine
Suite 104
Pasadena, CA 91105
Phone
(626) 396-2900
NPI assigned
Mar 6, 2007
Last updated
Sep 27, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF HOPE MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Mr. Lawrence Weiss, MD
Title
President
Phone
(626) 359-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

50 Bellefontaine
Suite 104
Pasadena, CA 91105

Mailing address

PO Box 5059
Monrovia, CA 91017
Phone (626) 775-3200

Other identifiers 1

IdentifierTypeStateIssuer
GR0087670MedicaidCA

Other names 1

  • City of Hope Medical Group Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0933982Healthcare Partners Affiliates Medical Group50 Bellefontaine Ste 305, Pasadena, CA 91105Certificate of waiverOct 22, 2027
05D1061662Pasadena Family Medicine Inc50 Bellefontaine St Ste 403, Pasadena, CA 91105Certificate of waiverNov 21, 2026

National Provider Directory

National Provider Directory
Tax ID family
Cary Manoogian MD2 organizations share this tax ID, including this one
Part of
Cary Manoogian MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

50 Bellefontaine St
Ste 104
Pasadena, CA 91105
Phone (626) 304-6300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1417087933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5059",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "91017",
            "telephone_number": "626-775-3200",
            "fax_number": "626-775-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BELLEFONTAINE",
            "address_2": "SUITE 104",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91105",
            "telephone_number": "626-396-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CANCER SPECIALISTS MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF HOPE MEDICAL GROUP",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-359-8111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0087670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Hope Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.