Individual provider Active NPI

Ioannis Konstantinidis, M.D.

  • Surgical Oncology Physician
  • West Hollywood, CA
National Provider Identifier
1477789972
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
A141964 Issued in CA
Practice address
310 N San Vicente Blvd FL 3
West Hollywood, CA 90048-1810
Phone
(310) 423-9331
Fax
(310) 423-9399
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X R9236 TX
Surgical Oncology Physician 2086X0206X A141964 CA Primary

Addresses

Primary practice location

310 N San Vicente Blvd FL 3
West Hollywood, CA 90048-1810

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-9331

Other practice location 2

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181009003292 TX Practitioner - General Surgery 5092067686 Reassigns benefits to 1 organization
I20250822003429 CA Practitioner - Surgical OncologyPractitioner - General Surgery 5092067686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

10 Congress St
Suite 210
Pasadena, CA 91105-3027
Phone (310) 423-1153

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A141964CAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Nov 1, 2018 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso Surgery CurrentSince Nov 1, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2025 Accepting new patients

Locations

1500 Duarte Rd
#2002
Duarte, CA 91010

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

625 S Fair Oaks Ave
Ste 355
Pasadena, CA 91105
Phone (626) 486-0350

10 Congress St
Ste 210
Pasadena, CA 91105
Phone (626) 397-8300

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

18133 Ventura Blvd
Ste 300
Tarzana, CA 91356
Phone (310) 423-8888

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

310 N San Vicente Blvd
Fl 3
West Hollywood, CA 90048
Phone (310) 423-9307

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ioannis.konstantinidis@txo.ikm.direct-ci.com
  • Direct secure messaging: ikonstantinidis525527@direct.cshs.org

Organizations & group practices 7

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 1

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1477789972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N SAN VICENTE BLVD FL 3",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481810",
            "telephone_number": "310-423-9331",
            "fax_number": "310-423-9399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-9331",
            "fax_number": "310-423-9399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W California Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053010",
            "country_code": "US",
            "telephone_number": "626-397-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONSTANTINIDIS",
        "first_name": "IOANNIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "R9236",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A141964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.