NPIMap

Organization Active NPI

Westside Radiation Oncology Medical Group Inc

  • Radiation Oncology Physician
  • West Hollywood, CA
National Provider Identifier
1952350993
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
WESTSIDE RADIATION ONCOLOGY MEDICAL GROUP INC
Practice address
8700 Beverly Blvd
RM Ac 1020
West Hollywood, CA 90048-1804
Phone
(310) 423-4207
Fax
(310) 659-3332
NPI assigned
May 8, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Behrooz Hakimian, MDNPI 1609826098
Title
Owner/Secretary
Phone
(310) 423-4207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

8700 Beverly Blvd
RM Ac 1020
West Hollywood, CA 90048-1804

Mailing address

File 51000
Los Angeles, CA 90074-0001
Phone (310) 423-4207

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ09138ZOtherCABLUE SHIELD PIN
GR0100340MedicaidCA

National Provider Directory

National Provider Directory

Locations

File 51000
Los Angeles, CA 90074

8700 Beverly Blvd
Rm Ac
West Hollywood, CA 90048
Phone (310) 423-4207

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1952350993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 51000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001",
            "telephone_number": "310-423-4207",
            "fax_number": "310-659-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "address_2": "RM AC 1020",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-4207",
            "fax_number": "310-659-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE RADIATION ONCOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HAKIMIAN",
        "authorized_official_first_name": "BEHROOZ",
        "authorized_official_title_or_position": "OWNER/SECRETARY",
        "authorized_official_telephone_number": "310-423-4207",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ09138Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.