NPIMap

Individual provider Active NPI

Amar Upadhyaya Kishan, M.D.

  • Radiation Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1871869339
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
128333 Issued in CA
Practice address
200 UCLA Medical PLZ
Suite B265
Los Angeles, CA 90095-2105
Phone
(310) 825-9771
NPI assigned
Mar 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 128333 CA Primary

Addresses

Primary practice location

200 UCLA Medical PLZ
Suite B265
Los Angeles, CA 90095-2105

Mailing address

Department of Radiation Oncology
200 UCLA Medical Plaza, Suite B265
Los Angeles, CA 90095-6951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170629002844 CA Practitioner - Radiation Oncology 9234408550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Harvard Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 3274573464, 32 clinicians

Practice addresses (Care Compare)

200 UCLA Med Plaza
B265
Los Angeles, CA 90024-6951
Phone (310) 825-9304

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.28 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
48.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128333CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Radiation Oncology CurrentSince Jul 1, 2017 Accepting new patients
UCLA Radiology Medical Group Radiation Oncology CurrentSince Jul 6, 2021 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

2400 Bahamas Dr
Bakersfield, CA 93309
Phone (661) 328-2333

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

200 UCLA Medical Plz
Ste B265
Los Angeles, CA 90095
Phone (310) 267-9099

1223 16th St
Ste 1100
Santa Monica, CA 90404
Phone (310) 794-4733

100 Moody Ct
Thousand Oaks, CA 91360
Phone (805) 418-3500

27235 Tourney Rd
Ste 1400
Valencia, CA 91355
Phone (661) 253-5858

Interoperability endpoints

  • Direct secure messaging: akishan151813@direct.uclahealth.org

Organizations & group practices 5

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 6

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1871869339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF RADIATION ONCOLOGY",
            "address_2": "200 UCLA MEDICAL PLAZA, SUITE B265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ",
            "address_2": "SUITE B265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900952105",
            "telephone_number": "310-825-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHAN",
        "first_name": "AMAR",
        "middle_name": "UPADHYAYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "128333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.