Jse Surgical Oncology Associates a Professional Medical Corporation

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

JSE SURGICAL ONCOLOGY ASSOCIATES A PROFESSIONAL MEDICAL CORPORATION

Practice address

10833 Le Conte Ave RM 54-140
Los Angeles, CA 90095-3075

Phone

(310) 825-2644

Fax

(310) 825-7575

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

James Steven Economou, MDNPI 1245244664

Title

President

Phone

(310) 600-8370

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Steven Economou, MD

  • Surgical Oncology Physician
  • Los Angeles, CA
  • NPI 1245244664
  Medicare reassignment NPD Authorized official
• Frederick Richard Eilber, MD

  • Surgical Oncology Physician
  • Los Angeles, CA
  • NPI 1154346724
  Medicare reassignment NPD
• Corinne Margaret Buchanan, NP

  • Acute Care Nurse Practitioner
  • Parker, CO
  • NPI 1578707428
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1750397386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 PALISADES DR # 216",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722844",
            "telephone_number": "310-600-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE RM 54-140",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-825-2644",
            "fax_number": "310-825-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSE SURGICAL ONCOLOGY ASSOCIATES A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "ECONOMOU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-600-8370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0024820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgical Oncology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.