Individual provider Active NPI

Lisa Martine Chaiken, MD

  • Radiation Oncology Physician
  • Santa Monica, CA
National Provider Identifier
1528062023
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G66880 Issued in CA
Practice address
2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone
(310) 829-8913
Fax
(310) 315-6168
NPI assigned
Jun 13, 2005
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X G66880 CA Primary

Addresses

Primary practice location

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303

Mailing address

PO Box 513969
Los Angeles, CA 90051-3969
Phone (310) 335-4065

Other practice location 1

3531 Fashion Way
Torrance, CA 90503-4807
Phone (310) 316-2424

Other identifiers 4

IdentifierTypeStateIssuer
920002903OtherRAILROAD MEDICARE
1528062023MedicaidCA
P00461553OtherCARAILROAD MEDICARE
00G668800MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com CITY OF HOPE MEDICAL FOUNDATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IA, NE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20041001000627 CA Practitioner - Radiation Oncology 4880673615 Reassigns benefits to 3 organizations
I20230112000176 IA Practitioner - Radiation Oncology 4880673615 Reassigns benefits to 2 organizations
I20230503002051 NE Practitioner - Radiation Oncology 4880673615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of California, Geffen School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

230 Nebraska St
Sioux City, IA 51101-1733
Phone (712) 252-0088

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G66880CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siouxland Regional Cancer Center Radiation Oncology CurrentSince Feb 1, 2023 Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Nov 1, 2025 Accepting new patients
County of Los Angeles CurrentSince Aug 1, 2013 Accepting new patients
Unmc Physicians CurrentSince Apr 13, 2023 Accepting new patients
County of Los Angeles CurrentSince Aug 1, 2013 Accepting new patients
City of Hope Medical Foundation Radiation Oncology CurrentSince Feb 15, 2017 Accepting new patients
MD Solutions Medical Corp CurrentSince May 17, 2014 Accepting new patients
Valley Radiotherapy Associates Medical Group Inc Radiation Oncology PastSince Nov 22, 2020 Accepting new patients
Nebraska Medical Center Past Accepting new patients
Dignity Community Care Past Accepting new patients
Cancer Care Consultants Medical Associates Radiation Oncology Past Accepting new patients
St Lukes Health Resources Past Accepting new patients
The Regents of the University of California Radiation Oncology Past Accepting new patients
Genesiscare USA of California a Medical Corporation Radiation Oncology Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

15477 Ventura Blvd
Ste 100
Sherman Oaks, CA 91403
Phone (818) 906-2141

5522 Sepulveda Blvd
Sherman Oaks, CA 91411
Phone (818) 990-5020

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

28049 Smyth Dr
Valencia, CA 91355
Phone (661) 705-9706

230 Nebraska St
Sioux City, IA 51101
Phone (712) 252-9381

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: direct@cityofhope.direct-ci.com

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1528062023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513969",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900513969",
            "telephone_number": "310-335-4065",
            "fax_number": "310-335-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042303",
            "telephone_number": "310-829-8913",
            "fax_number": "310-315-6168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3531 Fashion Way",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905034807",
            "country_code": "US",
            "telephone_number": "310-316-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAIKEN",
        "first_name": "LISA",
        "middle_name": "MARTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G66880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "920002903",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528062023",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00461553",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G668800",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.