Organization Active NPI

Pacific Hematology & Oncology Institute

  • Hematology & Oncology Physician
  • Arcadia, CA
National Provider Identifier
1629227962
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A72545 Issued in CA
Legal business name
PACIFIC HEMATOLOGY & ONCOLOGY INSTITUTE
Practice address
612 W Duarte Rd
Suite 804
Arcadia, CA 91007-7602
Phone
(626) 247-1192
Fax
(626) 247-1196
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Henry Wang, M.D.
Title
Partner
Phone
(626) 247-1192

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X G79934 CA
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X A72545 CA Primary

Addresses

Primary practice location

612 W Duarte Rd
Suite 804
Arcadia, CA 91007-7602

Mailing address

612 W Duarte Rd
Suite 804
Arcadia, CA 91007-7602
Phone (626) 247-1192

Other identifiers 1

IdentifierTypeStateIssuer
1629227962MedicaidCA

National Provider Directory

National Provider Directory

Locations

612 W Duarte Rd
Ste 804
Arcadia, CA 91007
Phone (626) 247-1192

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1629227962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "SUITE 804",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077602",
            "telephone_number": "626-247-1192",
            "fax_number": "626-247-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "SUITE 804",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077602",
            "telephone_number": "626-247-1192",
            "fax_number": "626-247-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEMATOLOGY & ONCOLOGY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "626-247-1192",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G79934",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A72545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629227962",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.