NPIMap

Individual provider Active NPI

Kalust Ucar, M.D.

  • Hematology & Oncology Physician
  • Glendale, CA
National Provider Identifier
1710912175
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A49259 Issued in CA
Practice address
222 W Eulalia St Ste 100B
Glendale, CA 91204-2850
Phone
(818) 637-7611
Fax
(818) 637-5106
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 A49259 CA Primary

Addresses

Primary practice location

222 W Eulalia St Ste 100B
Glendale, CA 91204-2850

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

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
I20070815000672 CA Practitioner - Hematology/Oncology 9133211592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

222 W Eulalia St
Suite 100B
Glendale, CA 91204-2850
Phone (818) 637-7611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49259CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Shores Medical Group, Inc Hematology & Oncology Current Accepting new patients
City of Hope Medical Foundation Hematology & Oncology CurrentSince Aug 8, 2021 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Dignity Health Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

222 W Eulalia St
Ste 100B
Glendale, CA 91204
Phone (562) 430-5900

19582 Beach Blvd
Ste 212
Huntington Beach, CA 92648
Phone (714) 252-9415

1043 Elm Ave
Ste 104
Long Beach, CA 90813
Phone (562) 495-6118

3747 Worsham Ave
Ste 101
Long Beach, CA 90808
Phone (562) 430-5900

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

Interoperability endpoints

  • Direct secure messaging: kucar42335@cityofhope.direct-ci.com
  • Direct secure messaging: kuu106pcs@m694.primeclinicalsystems.direct-ci.com
  • Direct secure messaging: kuu106pcs694@primeclinicalsystems.direct-ci.com
  • Direct secure messaging: direct@cityofhope.direct-ci.com

Organizations & group practices 8

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 5

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1710912175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST STE 100B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042850",
            "telephone_number": "818-637-7611",
            "fax_number": "818-637-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCAR",
        "first_name": "KALUST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A49259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.