NPIMap

Organization Active NPI

Jonsson Comprehensive Cancer Center

  • Genetic Counselor (M.S.)
  • Los Angeles, CA
National Provider Identifier
1750786299
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC000060 Issued in CA
Legal business name
JONSSON COMPREHENSIVE CANCER CENTER
Practice address
650 Charles Young Dr S
Room A2-125 CHS
Los Angeles, CA 90095-0001
Phone
(310) 825-8711
Fax
(310) 206-3566
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Dr. Patricia Ganz, M.D.
Title
Director
Phone
(310) 206-1401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.)Group: 193400000X SINGLE SPECIALTY GROUP 170300000X GC000060 CA Primary

Addresses

Primary practice location

650 Charles Young Dr S
Room A2-125 CHS
Los Angeles, CA 90095-0001

Mailing address

650 Charles Young Dr S
Room A2-125 CHS
Los Angeles, CA 90095-0001
Phone (310) 825-8711

Other identifiers 2

IdentifierTypeStateIssuer
2002066OtherAMERICAN BOARD OF GENETIC COUNSELING
GC000060OtherCAGENETIC COUNSELOR LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Regents of the Univ of Ca56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

650 Charles E Young Dr S
Rm A2125
Los Angeles, CA 90095
Phone (310) 825-8711

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1750786299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CHARLES YOUNG DR S",
            "address_2": "ROOM A2-125 CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-8711",
            "fax_number": "310-206-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CHARLES YOUNG DR S",
            "address_2": "ROOM A2-125 CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-8711",
            "fax_number": "310-206-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONSSON COMPREHENSIVE CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-206-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF GENETIC COUNSELING",
            "identifier": "2002066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENETIC COUNSELOR LICENSE",
            "identifier": "GC000060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.