Organization Active NPI

Nassir Medical Corporation

Doing business as Cancer Care Institute

  • Hematology & Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1528150562
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A64603 Issued in CA
Legal business name
NASSIR MEDICAL CORPORATION
Doing business as
Cancer Care Institute
Practice address
5901 W Olympic Blvd Ste 505
Los Angeles, CA 90036-4670
Phone
(323) 930-2324
Fax
(323) 930-2497
NPI assigned
Sep 28, 2006
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Youram Nassir, MDNPI 1114977071
Title
Ceo
Phone
(323) 930-2324

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
Hematology & Oncology Physician 207RH0003X A64603 CA Primary

Addresses

Primary practice location

5901 W Olympic Blvd Ste 505
Los Angeles, CA 90036-4670

Mailing address

311 N Robertson Blvd # 662
Beverly Hills, CA 90211-1705
Phone (323) 930-2324

Other identifiers 2

IdentifierTypeStateIssuer
A64603OtherCAMEDICAL LICENSE
00A646030MedicaidCA

Other names 1

  • Cancer Care Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323000934 CA Part B Supplier - Clinic/Group Practice 9133010739 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

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
05D0543664Nassir Medical Corporation Laboratory5901 W Olympic Blvd, Ste 505, Los Angeles, CA 90036ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

5901 W Olympic Blvd
Ste 505
Los Angeles, CA 90036
Phone (323) 930-2324

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1528150562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N ROBERTSON BLVD # 662",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111705",
            "telephone_number": "323-930-2324",
            "fax_number": "323-930-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364670",
            "telephone_number": "323-930-2324",
            "fax_number": "323-930-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSIR MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "NASSIR",
        "authorized_official_first_name": "YOURAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-930-2324",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A64603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A64603",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A646030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Care Institute",
            "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 Oct 17, 2024; 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.