Individual provider Active NPI

Krisztina Ilona Larson, M.D.

  • Hematology & Oncology Physician
  • Burbank, CA
National Provider Identifier
1558703363
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A158003 Issued in CA
Practice address
181 S Buena Vista St FL 4
Burbank, CA 91505-4504
Phone
(818) 840-0921
Fax
(818) 840-7064
NPI assigned
Jul 22, 2013
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A158003 CA Primary

Addresses

Primary practice location

181 S Buena Vista St FL 4
Burbank, CA 91505-4504

Mailing address

541 W Colorado St Ste 205
Glendale, CA 91204-3640
Phone (323) 254-0046

Other practice location 1

1505 Wilson Ter Ste 200
Glendale, CA 91206-4073
Phone (818) 409-0105

Other practice location 2

3808 W Riverside Dr Ste 302
Burbank, CA 91505-4363
Phone (818) 538-7040

Other practice location 3

11550 Indian Hills Rd Ste 330
Mission Hills, CA 91345-1203
Phone (323) 410-9827

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20190711001201 CA Practitioner - Hematology/Oncology 2961721253 Reassigns benefits to 1 organization
I20250515000338 TX Practitioner - Hematology/Oncology 2961721253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

Glendale, CA 91202

181 S Buena Vista St
Burbank, CA 91505-4504

21501 Avalon Blvd
Suite 100
Carson, CA 90745-2210
Phone (310) 835-6627

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 847-3022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158003CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Internal Medicine CurrentSince Jul 14, 2025 Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Jul 14, 2025 Accepting new patients
Renaissance Medical Foundation Internal Medicine CurrentSince May 12, 2025 Accepting new patients
Los Angeles Hematology-Oncology Medical Group Hematology & Oncology Past Accepting new patients

Locations

181 S Buena Vista St
Fl 4
Burbank, CA 91505
Phone (818) 840-0921

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

2717 W Michaelangelo Dr
Ste 200
Edinburg, TX 78539
Phone (956) 362-2250

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1558703363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W COLORADO ST STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043640",
            "telephone_number": "323-254-0046",
            "fax_number": "323-488-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 S BUENA VISTA ST FL 4",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054504",
            "telephone_number": "818-840-0921",
            "fax_number": "818-840-7064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Wilson Ter Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064073",
            "country_code": "US",
            "telephone_number": "818-409-0105",
            "fax_number": "818-409-0151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3808 W Riverside Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054363",
            "country_code": "US",
            "telephone_number": "818-538-7040",
            "fax_number": "833-442-1557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11550 Indian Hills Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451203",
            "country_code": "US",
            "telephone_number": "323-410-9827",
            "fax_number": "833-578-0939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KRISZTINA",
        "middle_name": "ILONA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A158003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.