Active NPI
John C Gunnell
- Hematology & Oncology Physician
- Glendale, CA
National Provider Identifier
1487765301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G17573
- Practice address
- 435 Arden Ave Ste 520
Glendale, CA 91203 - Phone
- (818) 247-5440
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G17573 | CA | Primary |
Addresses
Primary practice location
435 Arden Ave Ste 520
Glendale, CA 91203
Mailing address
435 Arden Ave Ste 520
Glendale, CA 91203-1138
Phone (818) 247-5440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G175730 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110105000875 | CA | Practitioner - Hematology/Oncology | 8628267762 | Practice locations: Glendale, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G17573 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health System - Southern California | Past | Accepting new patients | |
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1265875207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1487765301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 ARDEN AVE STE 520",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912031138",
"telephone_number": "818-247-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 ARDEN AVE STE 520",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91203",
"telephone_number": "818-247-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNELL",
"first_name": "JOHN",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G17573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G175730",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.