Individual provider Active NPI

Nerses Simon Tchekmedyian, M.D.

  • Hematology & Oncology Physician
  • Irvine, CA
National Provider Identifier
1821032129
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A42410 Issued in CA
Practice address
1000 Fivepoint
Irvine, CA 92618-2377
Phone
(949) 671-4673
Fax
(949) 671-4329
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X A42410 CA
Hematology & Oncology Physician 207RH0003X A42410 CA Primary

Addresses

Primary practice location

1000 Fivepoint
Irvine, CA 92618-2377

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Other practice location 1

1043 Elm Ave Ste 104
Long Beach, CA 90813-3244
Phone (562) 590-0345

Other practice location 2

2100 Main St Ste 300
Huntington Beach, CA 92648-2489
Phone (714) 252-9415

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: 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
I20040417000570 CA Practitioner - Hematology/Oncology 1456346527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1978
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)

1043 Elm Ave
Suite 104
Long Beach, CA 90813-3244
Phone (562) 590-0345

1601 Avocado Ave
Newport Beach, CA 92660-7798
Phone (949) 763-2204

16300 Sand Canyon Ave
Suite 207
Irvine, CA 92618-3712
Phone (949) 333-7580

209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900

3747 Worsham Ave
Suite 101
Long Beach, CA 90808-1734
Phone (562) 430-5900

Hospital & facility affiliations

  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

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
A42410CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Shores Medical Group, Inc. Hematology & Oncology CurrentSince May 3, 1995 Accepting new 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
Pacific Shores Medical Group, Inc. Hematology & Oncology CurrentSince Jun 22, 2018 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Dignity Health Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Saddleback Memorial Medical Center 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

2100 Main St
Ste 300
Huntington Beach, CA 92648
Phone (714) 252-9415

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

16300 Sand Canyon Ave
Ste 207
Irvine, CA 92618
Phone (714) 252-9415

1000 Fivepoint
Irvine, CA 92618
Phone (888) 333-4673

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

600 N Garfield Ave
Ste 210
Monterey Park, CA 91754
Phone (626) 281-9111

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

351 Hospital Rd
Ste 610
Newport Beach, CA 92663
Phone (949) 631-2462

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

23456 Hawthorne Blvd
Ste 260
Torrance, CA 90505
Phone (310) 540-2282

5215 Torrance Blvd
Torrance, CA 90503
Phone (310) 316-6190

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nst103pcs@m694.primeclinicalsystems.direct-ci.com
  • Direct secure messaging: nst103pcs694@primeclinicalsystems.direct-ci.com
  • Direct secure messaging: ntchekmedyian81682@cityofhope.direct-ci.com
  • Direct secure messaging: direct@cityofhope.direct-ci.com

Organizations & group practices 11

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 2

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1821032129",
    "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": "1000 FIVEPOINT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182377",
            "telephone_number": "949-671-4673",
            "fax_number": "949-671-4329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1043 Elm Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133244",
            "country_code": "US",
            "telephone_number": "562-590-0345",
            "fax_number": "562-437-8139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Main St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926482489",
            "country_code": "US",
            "telephone_number": "714-252-9415",
            "fax_number": "714-963-8407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TCHEKMEDYIAN",
        "first_name": "NERSES",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A42410",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A42410",
            "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 Irvine, CA

Sources for this page

Verify at the official NPI Registry.