Individual provider Active NPI

Rex Hoffman, MD

  • Radiation Oncology Physician
  • Studio City, CA
National Provider Identifier
1497739650
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A65450 Issued in CA
Practice address
12055 Valleyheart Dr
Studio City, CA 91604
Phone
(818) 506-4074
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A65450 CA
Radiation Oncology Physician 2085R0001X A65450 CA Primary

Addresses

Primary practice location

12055 Valleyheart Dr
Studio City, CA 91604

Mailing address

12055 Valleyheart Dr
Studio City, CA 91604-2059

Other practice location 1

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 847-3440

Other practice location 2

181 S Buena Vista St
Burbank, CA 91505-4504
Phone (818) 847-3444

Other identifiers 1

IdentifierTypeStateIssuer
00A654500MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65450CAMDRadiation Oncology Physician

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Valley Radiotherapy Associates Medical Group Inc Radiation Oncology Past Accepting new patients
Santa Clarita Radiotherapy Medical Group Radiation Oncology Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1497739650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12055 VALLEYHEART DR",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12055 VALLEYHEART DR",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "91604",
            "telephone_number": "818-506-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Buena Vista St",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054809",
            "country_code": "US",
            "telephone_number": "818-847-3440",
            "fax_number": "818-847-3499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 S Buena Vista St",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054504",
            "country_code": "US",
            "telephone_number": "818-847-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "REX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A65450",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A65450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A654500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.