NPIMap

Organization Active NPI

Elite Oncology Medical Group, Inc.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1851469779
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A37798 Issued in CA
Legal business name
ELITE ONCOLOGY MEDICAL GROUP, INC.
Practice address
12099 W Washington Blvd
Suite 304
Los Angeles, CA 90066-5882
Phone
(310) 398-0013
Fax
(310) 398-4470
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Dr. James I. Bicher, M.D.
Title
President
Phone
(310) 398-0013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A37798 CA Primary

Addresses

Primary practice location

12099 W Washington Blvd
Suite 304
Los Angeles, CA 90066-5882

Mailing address

12099 W Washington Blvd
Suite 304
Los Angeles, CA 90066-5882
Phone (310) 398-0013

Other names 1

  • Valley Cancer Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elite Oncology Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1851469779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12099 W WASHINGTON BLVD",
            "address_2": "SUITE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665882",
            "telephone_number": "310-398-0013",
            "fax_number": "310-398-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12099 W WASHINGTON BLVD",
            "address_2": "SUITE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665882",
            "telephone_number": "310-398-0013",
            "fax_number": "310-398-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ONCOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "BICHER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-398-0013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A37798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Cancer Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 28, 2016; 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.