Individual provider Active NPI

William H. Isacoff, M.D.

  • Hematology & Oncology Physician
  • Santa Monica, CA
National Provider Identifier
1891773123
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G24596 Issued in CA
Practice address
2811 Wilshire Blvd Ste 414
Santa Monica, CA 90403-4804
Phone
(310) 824-4133
Fax
(310) 201-6685
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G24596 CA Primary

Addresses

Primary practice location

2811 Wilshire Blvd Ste 414
Santa Monica, CA 90403-4804

Mailing address

2811 Wilshire Blvd Ste 414
Santa Monica, CA 90403-4804
Phone (310) 824-4133

Other identifiers 4

IdentifierTypeStateIssuer
00G245960MedicaidCA
ZZZ 66561 ZOtherCABLUE SHIELD OF CA DME
953490494OtherCACOMMERICAL PROV ID
90024B002OtherCATRICARE PROV ID

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
I20100329000832 CA Practitioner - Medical Oncology 0547396590 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G24596CAMDHematology & Oncology Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1891773123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 414",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034804",
            "telephone_number": "310-824-4133",
            "fax_number": "310-201-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 414",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034804",
            "telephone_number": "310-824-4133",
            "fax_number": "310-201-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISACOFF",
        "first_name": "WILLIAM",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G24596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G245960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA DME",
            "identifier": "ZZZ 66561 Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL PROV ID",
            "identifier": "953490494",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROV ID",
            "identifier": "90024B002",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.