Eddie Thara, D.O.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

20A10972 Issued in CA

Practice address

11480 Brookshire Ave
Suite 309
Downey, CA 90241-5025

Phone

(562) 869-1201

Fax

(562) 869-1281

NPI assigned

Nov 12, 2009

Last updated

Nov 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Hematology/Oncology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cancer and Blood Specialty ClinicGroup PAC ID 9032260146, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Apollo Home Health Care Inc Home health agency, Tustin, CA, CCN 559686
• Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
• College Medical Center Hospital, Long Beach, CA, CCN 050776
• St Mary Medical Center Hospital, Long Beach, CA, CCN 050191
• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ethara@cblood.curemd.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cancer and Blood Specialty Clinic

  • Hematology & Oncology Physician
  • Los Alamitos, CA
  • NPI 1538302351

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Cancer and Blood Specialty Clinic

  • Hematology & Oncology Physician
  • Los Alamitos, CA
  • NPI 1205272473

  Internal Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Apollo Home Health Care, Inc

  • Home Health Agency
  • Tustin, CA
  • NPI 1902428162
  Care Compare affiliation
• CHLB, LLC

  dba College Medical Center

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1215373626
  Care Compare affiliation
• Dignity Health

  dba St. Mary Medical Center

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  Care Compare affiliation
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation
• Long Beach Memorial Medical

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1962442012
  Care Compare affiliation
• University of California Irvine

  dba University of California Irvine - Cac Urgent Care

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1932436821",
    "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",
            "fax_number": "562-869-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVE",
            "address_2": "SUITE 309",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415025",
            "telephone_number": "562-869-1201",
            "fax_number": "562-869-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARA",
        "first_name": "EDDIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-12",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10972",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "20A10972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica-Ferdianne Teruel
• Yordanos Tesfailase
• Thach Vo, DMD, Inc.
• John Thanasukarn, M.D.
• Apekshya Thapa
• Kathleen L Thatcher
• The Harvard Pain Institute
• The Healthcare Center of Downey, LLC (Lakewood Healthcare Center)
• The Oncology Institute Ca, a Professional Corporation (The Oncology Institute of Hope and Innovation)
• The Oncology Institute of Hope and Innovation

• Hematology & Oncology Physician in Downey, CA
• Providers in Downey, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.