NPIMap

Individual provider Active NPI

Roman Leonid Kleynberg, M.D.

  • Hematology & Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1700103298
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A120343 Issued in CA
Practice address
6221 Wilshire Blvd
Suite 504
Los Angeles, CA 90048-5201
Phone
(323) 965-5679
Fax
(323) 965-5678
NPI assigned
Apr 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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 A120343 CA Primary

Addresses

Primary practice location

6221 Wilshire Blvd
Suite 504
Los Angeles, CA 90048-5201

Mailing address

6221 Wilshire Blvd
Suite 504
Los Angeles, CA 90048-5201
Phone (323) 965-5679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150715002338 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6406169713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Hematology Oncology Medical Group IncGroup PAC ID 3779840459, 8 clinicians

Practice addresses (Care Compare)

6221 Wilshire Blvd
Suite 504
Los Angeles, CA 90048-5223
Phone (323) 965-9995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120343CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hematology Oncology Medical Group Inc CurrentSince Aug 28, 2017 Accepting new patients
Kleynberg Medical Clinic Inc Hematology & Oncology CurrentSince May 2, 2015 Accepting new patients
Alta Los Angeles Hospital, Inc Past Accepting new patients

Locations

6221 Wilshire Blvd
Ste 504
Los Angeles, CA 90048
Phone (323) 965-9995

7601 Canby Ave
Ste 7
Reseda, CA 91335
Phone (818) 692-7595

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 8

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1700103298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-965-5679",
            "fax_number": "323-965-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-965-5679",
            "fax_number": "323-965-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEYNBERG",
        "first_name": "ROMAN",
        "middle_name": "LEONID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A120343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.