Organization Active NPI

Los Angeles Hematology-Oncology Medical Group

Doing business as Los Angeles Cancer Network

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1457409674
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Doing business as
Los Angeles Cancer Network
Practice address
1245 Wilshire Blvd Ste 303
Los Angeles, CA 90017-4803
Phone
(213) 977-1214
Fax
(213) 482-8868
NPI assigned
Jan 5, 2007
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Boris Bagdasarian, DONPI 1598758062
Title
DO
Phone
(818) 409-0105

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1245 Wilshire Blvd Ste 303
Los Angeles, CA 90017-4803

Mailing address

541 W Colorado St Ste 205
Glendale, CA 91204-3640
Phone (323) 254-0046

Other practice location 1

300 S Harbor Blvd Ste 600
Anaheim, CA 92805-3718
Phone (714) 999-1465

Other practice location 2

1910 Royalty Dr
Pomona, CA 91767-3021
Phone (818) 484-8611

Other practice location 3

255 Terracina Blvd Ste 202
Redlands, CA 92373-4870
Phone (818) 484-8611

Other practice location 4

23600 Telo Ave Ste 250
Torrance, CA 90505-4037
Phone (310) 375-8446

Other practice location 5

4500 Brockton Ave Ste 107
Riverside, CA 92501-4006
Phone (951) 276-2760

Other practice location 6

25425 Orchard Village Rd Ste 150
Santa Clarita, CA 91355-2959
Phone (323) 760-9757

Other practice location 7

15211 Vanowen St Ste 201
Van Nuys, CA 91405-3627
Phone (818) 574-3798

Other practice location 8

15211 Vanowen St Ste 300
Van Nuys, CA 91405-3617
Phone (818) 782-4104

Other practice location 9

1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
Phone (818) 484-8611

Other practice location 10

11180 Warner Ave Ste 351
Fountain Valley, CA 92708-7516
Phone (714) 698-0300

Other practice location 11

1801 W Romneya Dr Ste 203
Anaheim, CA 92801-1824
Phone (714) 999-1465

Other practice location 12

3808 W Riverside Dr Ste 302
Burbank, CA 91505-4363
Phone (818) 538-7040

Other practice location 13

2080 Century Park E Ste 1005
Los Angeles, CA 90067-2013
Phone (310) 229-3555

Other practice location 14

260 E Ontario Ave Ste 101
Corona, CA 92879-3508
Phone (951) 371-2411

Other practice location 15

222 W Eulalia St Ste 100C
Glendale, CA 91204-2850
Phone (818) 553-8160

Other practice location 16

3933 Foothill Blvd Ste A
LA Crescenta, CA 91214-1616
Phone (818) 484-8611

Other practice location 17

50 Alessandro Pl Ste 310
Pasadena, CA 91105-4000
Phone (626) 288-0008

Other practice location 18

3801 Katella Ave Ste 207
Los Alamitos, CA 90720-3382
Phone (714) 698-0300

Other practice location 19

18251 Roscoe Blvd Ste 101
Northridge, CA 91325-4204
Phone (818) 441-7530

Other practice location 20

350 Vinton Ave Ste 101
Pomona, CA 91767-3000
Phone (909) 620-5502

Other practice location 21

433 N 4th St Ste 207
Montebello, CA 90640-4309
Phone (323) 721-1388

Other practice location 22

5525 Etiwanda Ave Ste 200
Tarzana, CA 91356-6131
Phone (747) 317-4148

Other practice location 23

11550 Indian Hills Rd Ste 211
Mission Hills, CA 91345-1202
Phone (323) 410-9827

Other practice location 24

1300 N Vermont Ave Ste 903
Los Angeles, CA 90027-6094
Phone (213) 570-8404

Other practice location 25

255 Terracina Blvd Ste 202
Redlands, CA 92373-4870
Phone (818) 484-8611

Other practice location 26

3801 Katella Ave Ste 115
Los Alamitos, CA 90720-3359
Phone (310) 375-8446

Other practice location 27

101 E Redlands Blvd Ste 106
Redlands, CA 92373-4723
Phone (818) 484-8611

Other practice location 28

2110 E El Segundo Blvd Ste 110
El Segundo, CA 90245-4547
Phone (310) 375-8446

Other practice location 29

3933 Foothill Blvd Ste A
La Crescenta, CA 91214-1616
Phone (818) 484-8611

Other practice location 30

23961 Calle De La Magdalena Ste 501
Laguna Hills, CA 92653-7622
Phone (949) 523-6360

Other practice location 31

10700 Santa Monica Blvd Ste 310
Los Angeles, CA 90025-6588
Phone (424) 465-1820

Other practice location 32

1505 Wilson Ter Ste 200
Glendale, CA 91206-4073
Phone (818) 409-0105

Other identifiers 1

IdentifierTypeStateIssuer
GR0051270MedicaidCA

Other names 1

  • Los Angeles Cancer Network Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050601001068 CA Part B Supplier - Clinic/Group Practice 6608819594 Receives reassigned benefits from 70 practitioners
2 other NPIs on this enrollment
Practice locations: Los Angeles, CA; Anaheim, CA; Mission Hills, CA; Montebello, CA; Northridge, CA; Pasadena, CA; Pomona, CA; Redlands, CA…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
05D0681290Los Angeles Hematology Oncology Med1245 Wilshire Blvd Ste 303, Los Angeles, CA 90017ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

3801 Katella Ave
Ste 115
Los Alamitos, CA 90720
Phone (310) 375-8446

10700 Santa Monica Blvd
Ste 310
Los Angeles, CA 90025
Phone (424) 465-1820

101 E Redlands Blvd
Ste 106
Redlands, CA 92373
Phone (818) 484-8611

255 Terracina Blvd
Ste 202
Redlands, CA 92373
Phone (909) 748-6065

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 84

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 84

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1457409674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W COLORADO ST STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043640",
            "telephone_number": "323-254-0046",
            "fax_number": "323-488-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174803",
            "telephone_number": "213-977-1214",
            "fax_number": "213-482-8868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Harbor Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928053718",
            "country_code": "US",
            "telephone_number": "714-999-1465",
            "fax_number": "888-557-1920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Royalty Dr",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673021",
            "country_code": "US",
            "telephone_number": "818-484-8611",
            "fax_number": "818-484-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Terracina Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923734870",
            "country_code": "US",
            "telephone_number": "818-484-8611",
            "fax_number": "818-484-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23600 Telo Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054037",
            "country_code": "US",
            "telephone_number": "310-375-8446",
            "fax_number": "310-375-8489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Brockton Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014006",
            "country_code": "US",
            "telephone_number": "951-276-2760",
            "fax_number": "951-276-2960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25425 Orchard Village Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913552959",
            "country_code": "US",
            "telephone_number": "323-760-9757",
            "fax_number": "833-697-1852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15211 Vanowen St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914053627",
            "country_code": "US",
            "telephone_number": "818-574-3798",
            "fax_number": "844-809-9305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15211 Vanowen St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914053617",
            "country_code": "US",
            "telephone_number": "818-782-4104",
            "fax_number": "844-742-4151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 Wilson Ter Ste 150",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064076",
            "country_code": "US",
            "telephone_number": "818-484-8611",
            "fax_number": "818-484-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11180 Warner Ave Ste 351",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927087516",
            "country_code": "US",
            "telephone_number": "714-698-0300",
            "fax_number": "714-698-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 W Romneya Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928011824",
            "country_code": "US",
            "telephone_number": "714-999-1465",
            "fax_number": "888-557-1920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3808 W Riverside Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054363",
            "country_code": "US",
            "telephone_number": "818-538-7040",
            "fax_number": "833-442-1557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2080 Century Park E Ste 1005",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900672013",
            "country_code": "US",
            "telephone_number": "310-229-3555",
            "fax_number": "833-860-1014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 E Ontario Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928793508",
            "country_code": "US",
            "telephone_number": "951-371-2411",
            "fax_number": "951-284-0177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 W Eulalia St Ste 100C",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912042850",
            "country_code": "US",
            "telephone_number": "818-553-8160",
            "fax_number": "866-812-6316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3933 Foothill Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "LA Crescenta",
            "state": "CA",
            "postal_code": "912141616",
            "country_code": "US",
            "telephone_number": "818-484-8611",
            "fax_number": "818-484-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Alessandro Pl Ste 310",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911054000",
            "country_code": "US",
            "telephone_number": "626-288-0008",
            "fax_number": "866-741-4630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Katella Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907203382",
            "country_code": "US",
            "telephone_number": "714-698-0300",
            "fax_number": "714-698-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18251 Roscoe Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913254204",
            "country_code": "US",
            "telephone_number": "818-441-7530",
            "fax_number": "866-584-6538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Vinton Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673000",
            "country_code": "US",
            "telephone_number": "909-620-5502",
            "fax_number": "909-506-0358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 N 4th St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "CA",
            "postal_code": "906404309",
            "country_code": "US",
            "telephone_number": "323-721-1388",
            "fax_number": "844-809-9302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5525 Etiwanda Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913566131",
            "country_code": "US",
            "telephone_number": "747-317-4148",
            "fax_number": "866-246-1269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11550 Indian Hills Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451202",
            "country_code": "US",
            "telephone_number": "323-410-9827",
            "fax_number": "833-578-0939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 N Vermont Ave Ste 903",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900276094",
            "country_code": "US",
            "telephone_number": "213-570-8404",
            "fax_number": "833-642-1571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Terracina Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923734870",
            "country_code": "US",
            "telephone_number": "818-484-8611",
            "fax_number": "818-484-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Katella Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907203359",
            "country_code": "US",
            "telephone_number": "310-375-8446",
            "fax_number": "310-375-8489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Redlands Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923734723",
            "country_code": "US",
            "telephone_number": "818-484-8611",
            "fax_number": "818-484-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 E El Segundo Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902454547",
            "country_code": "US",
            "telephone_number": "310-375-8446",
            "fax_number": "310-375-8489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3933 Foothill Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "La Crescenta",
            "state": "CA",
            "postal_code": "912141616",
            "country_code": "US",
            "telephone_number": "818-484-8611",
            "fax_number": "818-484-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23961 Calle De La Magdalena Ste 501",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926537622",
            "country_code": "US",
            "telephone_number": "949-523-6360",
            "fax_number": "949-523-6361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10700 Santa Monica Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900256588",
            "country_code": "US",
            "telephone_number": "424-465-1820",
            "fax_number": "866-347-8898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 Wilson Ter Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064073",
            "country_code": "US",
            "telephone_number": "818-409-0105",
            "fax_number": "866-810-7504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "BAGDASARIAN",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "818-409-0105",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0051270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Cancer Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.