Individual provider Active NPI

Ersin Selcuk Unal, MD, PHD

  • Hematology & Oncology Physician
  • Lakewood, CA
National Provider Identifier
1578825824
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A163760 Issued in CA
Practice address
3650 South St Ste 212
Lakewood, CA 90712
Phone
(562) 272-7630
Fax
(562) 272-7631
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14492 ND
Hematology & Oncology Physician 207RH0003X 14492 ND
Hematology & Oncology Physician 207RH0003X A163760 CA Primary

Addresses

Primary practice location

3650 South St Ste 212
Lakewood, CA 90712

Mailing address

3650 South St Ste 212
Lakewood, CA 90712-1528
Phone (562) 272-7630

Other practice location 1

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-3300

Other practice location 2

1400 Pelham Pkwy S
Jacobi Medical Center Building 1 3N1
Bronx, NY 10461-1138
Phone (718) 918-3230

Other identifiers 1

IdentifierTypeStateIssuer
1471181MedicaidND

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
I20190820003818 CA Practitioner - Hematology/Oncology 6507135068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1250 S Sunset Ave
Suite 101
West Covina, CA 91790-3900
Phone (626) 283-5183

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163760CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Oncology Ca, a Professional Corporation Hematology & Oncology CurrentSince Apr 1, 2023 Accepting new patients
The Oncology Institute Ca, a Professional Corporation Hematology & Oncology CurrentSince Apr 1, 2023 Accepting new patients
University of California Irvine Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

900 S Main St
Ste 204
Corona, CA 92882
Phone (951) 372-2400

11100 Warner Ave
Ste 214
Fountain Vly, CA 92708
Phone (714) 594-7820

6121 N Thesta St
Ste 204
Fresno, CA 93710
Phone (559) 438-7390

3300 E South St
Ste 304
Lakewood, CA 90805
Phone (562) 232-0550

399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252

425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020

440 N Mountain Ave
Ste 307
Upland, CA 91786
Phone (909) 906-1519

1060 E Foothill Blvd
Ste 102
Upland, CA 91786
Phone (909) 906-1519

2067 W Vista Way
Ste 295
Vista, CA 92083
Phone (526) 735-3226

1250 S Sunset Ave
Ste 101
West Covina, CA 91790
Phone (626) 960-4850

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ersin.unal@theoncologyinstitute.ikm.direct-ci.com

Organizations & group practices 7

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.

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1578825824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 212",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121528",
            "telephone_number": "562-272-7630",
            "fax_number": "562-272-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 212",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90712",
            "telephone_number": "562-272-7630",
            "fax_number": "562-272-7631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1702 University Dr S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "58103",
            "country_code": "US",
            "telephone_number": "701-364-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Pelham Pkwy S",
            "address_2": "Jacobi Medical Center Building 1 3N1",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611138",
            "country_code": "US",
            "telephone_number": "718-918-3230",
            "fax_number": "718-918-7343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNAL",
        "first_name": "ERSIN",
        "middle_name": "SELCUK",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "14492",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ND",
            "license": "14492",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A163760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1471181",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.