Individual provider Active NPI

Halline Uzell Overby, M.D.

  • Hematology & Oncology Physician
  • Lynwood, CA
National Provider Identifier
1912062001
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G32767 Issued in CA
Practice address
3628 Imperial Highway
Suite 402
Lynwood, CA 90262-2643
Phone
(310) 763-7486
Fax
(310) 763-7009
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 G32767 CA Primary

Addresses

Primary practice location

3628 Imperial Highway
Suite 402
Lynwood, CA 90262-2643

Mailing address

3628 Imperial Highway
Suite 402
Lynwood, CA 90262-2643
Phone (310) 763-7486

Other identifiers 1

IdentifierTypeStateIssuer
00G327671MedicaidCA

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
I20120607000703 CA Practitioner - Internal MedicinePractitioner - HematologyPractitioner - Hematology/Oncology 4981868643 Reassigns benefits to 1 organization
Practice locations: Downey, CA; Lynwood, CA; Long Beach, CA; Los Alamitos, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Howard University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1670 E 120TH St
Los Angeles, CA 90059-3026

Hospital & facility affiliations

  • Hope International Hospice, Inc. Hospice, Torrance, CA, CCN 051774
  • Lac/Harbor-UCLA Med Center Hospital, Torrance, CA, CCN 050376
  • Los Angeles General Medical Center Hospital, Los Angeles, CA, CCN 050373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32767CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Apr 2, 2013 Accepting new patients
County of Los Angeles CurrentSince Apr 2, 2013 Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Los Alamitos Colorectal Surgical Associates Past Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

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 3

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912062001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 IMPERIAL HIGHWAY",
            "address_2": "SUITE 402",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622643",
            "telephone_number": "310-763-7486",
            "fax_number": "310-763-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 IMPERIAL HIGHWAY",
            "address_2": "SUITE 402",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622643",
            "telephone_number": "310-763-7486",
            "fax_number": "310-763-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBY",
        "first_name": "HALLINE",
        "middle_name": "UZELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G32767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G327671",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.