Individual provider Active NPI

Suzy Melkonian, MD

  • Medical Oncology Physician
  • Chatsworth, CA
National Provider Identifier
1730188152
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
G83152 Issued in CA
Practice address
10028 Lubao Ave
Chatsworth, CA 91311-3517
Phone
(818) 727-0205
NPI assigned
Jul 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X G83152 CA Primary

Addresses

Primary practice location

10028 Lubao Ave
Chatsworth, CA 91311-3517

Mailing address

10028 Lubao Ave
Chatsworth, CA 91311-3517
Phone (818) 727-0205

Other practice location 1

15031 Rinaldi St
Mission Hills, CA 91345-1207
Phone (818) 365-3099

Other identifiers 1

IdentifierTypeStateIssuer
1134420201MedicaidCA

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
I20101123000969 CA Practitioner - Medical Oncology 8426244948 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Los Angeles Hematology-Oncology Medical GroupGroup PAC ID 6608819594, 51 clinicians

Practice addresses (Care Compare)

15211 Vanowen St
Suite 300
Van Nuys, CA 91405-3617
Phone (818) 782-4104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83152CAMDMedical Oncology Physician

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Los Angeles Hematology-Oncology Medical Group CurrentSince Sep 14, 2024 Accepting new patients
Michael Benjamin MD Inc CurrentSince Mar 1, 2018 Accepting new patients
Los Angeles Hematology-Oncology Medical Group CurrentSince Sep 14, 2024 Accepting new patients
Los Angeles Hematology-Oncology Medical Group CurrentSince Sep 14, 2024 Accepting new patients
Los Angeles Hematology-Oncology Medical Group Current Accepting new patients
Michael Benjmain, M.D., Inc. Past Accepting new patients
North Valley Hematology/Oncology Medical Group Past Accepting new patients
Los Angeles Cardiology Associates Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 103
Anaheim, CA 92801
Phone (714) 535-3660

3808 W Riverside Dr
Ste 302
Burbank, CA 91505
Phone (323) 254-0046

260 E Ontario Ave
Ste 101
Corona, CA 92879
Phone (951) 268-7746

1505 Wilson Ter
Ste 200
Glendale, CA 91206
Phone (818) 243-0477

541 W Colorado St
Ste 205
Glendale, CA 91204
Phone (323) 254-0046

1245 Wilshire Blvd
Ste 303
Los Angeles, CA 90017
Phone (213) 977-1214

10630 Sepulveda Blvd
Ste 202
Mission Hills, CA 91345
Phone (747) 253-7042

11550 Indian Hills Rd
Ste 211
Mission Hills, CA 91345
Phone (323) 410-9827

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

18251 Roscoe Blvd
Ste 101
Northridge, CA 91325
Phone (818) 349-2503

3605 Alamo St
Ste 103
Simi Valley, CA 93063
Phone (805) 517-4804

5525 Etiwanda Ave
Ste 200
Tarzana, CA 91356
Phone (818) 528-1290

15211 Vanowen St
Ste 300
Van Nuys, CA 91405
Phone (818) 782-4104

15211 Vanowen St
Ste 201
Van Nuys, CA 91405
Phone (818) 574-3798

7325 Medical Center Dr
Ste 301
West Hills, CA 91307
Phone (818) 570-2134

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1730188152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10028 LUBAO AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113517",
            "telephone_number": "818-727-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10028 LUBAO AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113517",
            "telephone_number": "818-727-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15031 Rinaldi St",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451207",
            "country_code": "US",
            "telephone_number": "818-365-3099",
            "fax_number": "818-837-1987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELKONIAN",
        "first_name": "SUZY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "G83152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134420201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

Verify at the official NPI Registry.