Individual provider Active NPI

Kevin Diao, MD

  • Radiation Oncology Physician
  • Whittier, CA
National Provider Identifier
1578067260
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
BP10066528 Issued in TX
Practice address
12393 Washington Blvd
Whittier, CA 90606-2502
Phone
(562) 696-5964
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 BP10066528 TX Primary

Addresses

Primary practice location

12393 Washington Blvd
Whittier, CA 90606-2502

Mailing address

1400 Pressler St Unit 1422
Houston, TX 77030-3722
Phone (713) 792-2534

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724002245 CA Practitioner - Radiation Oncology 2860852795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Harvard Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whittier Oncology Medical Clinic IncGroup PAC ID 5991958415, 4 clinicians

Practice addresses (Care Compare)

12393 Washington Blvd
Whittier, CA 90606-2502
Phone (562) 696-5964

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10066528TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whittier Oncology Medical Clinic, Inc. CurrentSince Jun 11, 2023 Accepting new patients
Branko Radisavljevic M.D. Inc. PastSince Mar 14, 2013 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

1245 Wilshire Blvd
Ste 101
Los Angeles, CA 90017
Phone (213) 977-2360

12393 Washington Blvd
Whittier, CA 90606
Phone (562) 696-5964

111 Loder St
#B
Hornell, NY 14843

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 2

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1578067260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PRESSLER ST UNIT 1422",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303722",
            "telephone_number": "713-792-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12393 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062502",
            "telephone_number": "562-696-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAO",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "BP10066528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.