Active NPI
Amitabha Mazumder, M.D.
- Hematology & Oncology Physician
- Downey, CA
National Provider Identifier
1881682318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G56488
- Practice address
- 11480 Brookshire Ave Ste 309
Downey, CA 90241 - Phone
- (562) 869-1201
- Fax
- (562) 869-1281
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 209802 | NY | |
| Hematology & Oncology Physician | 207RH0003X | G56488 | CA | Primary |
Addresses
Primary practice location
11480 Brookshire Ave Ste 309
Downey, CA 90241
Mailing address
18000 Studebaker Rd Ste 800
Cerritos, CA 90703-2671
Phone (562) 735-3226
Other practice location 1
160 E 34th St
Fl 7
New York, NY 10016-4744
Phone (212) 731-5196
Other practice location 2
1510 S Central Ave Ste 240
Glendale, CA 91204-2570
Phone (818) 334-5425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB293407 | Other | CA | PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Johns Hopkins University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
50 Bellefontaine St
Pasadena, CA 91105-3132
Phone (626) 486-9447
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209802 | NY | MD | Specialist |
| G56488 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Hospital Corporation | Past | Accepting new patients | |
| Eladh, LP | Past | Accepting new patients | |
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| New York University | Hematology & Oncology | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- amitabha.mazumder@theoncologyinstitute.ikm.direct-ci.com
Organizations & group practices 6
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.
-
- Hematology & Oncology Physician
- Downey, CA
- NPI 1275651515
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417957473
-
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
-
- Hematology & Oncology Physician
- New York, NY
- NPI 1083605679
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1881682318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 STUDEBAKER RD STE 800",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032671",
"telephone_number": "562-735-3226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11480 BROOKSHIRE AVE STE 309",
"city": "DOWNEY",
"state": "CA",
"postal_code": "90241",
"telephone_number": "562-869-1201",
"fax_number": "562-869-1281"
}
],
"practiceLocations": [
{
"address_1": "160 E 34th St",
"address_2": "Fl 7",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100164744",
"country_code": "US",
"telephone_number": "212-731-5196",
"fax_number": "212-731-5540",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1510 S Central Ave Ste 240",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912042570",
"country_code": "US",
"telephone_number": "818-334-5425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAZUMDER",
"first_name": "AMITABHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "209802",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G56488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "CB293407",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.