Los Angeles Hematology-Oncology Medical Group

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP

Practice address

1505 Wilson Ter Ste 200
Glendale, CA 91206-4073

Phone

(323) 910-4060

Fax

(818) 279-0818

NPI assigned

May 14, 2007

Last updated

Apr 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Boris Bagdasarian, D.O.NPI 1598758062

Title

Partner

Phone

(818) 696-6994

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Los Angeles Hematology-Oncology Medical Group

  dba Los Angeles Cancer Network

  • Specialist
  • Los Angeles, CA
  • NPI 1457409674

  6608819594

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Los Angeles Hematology-Oncology Medical Group

  • Hematology & Oncology Physician
  • Glendale, CA
  • NPI 1386859122

  O20050601001068

  Same enrollment
• Los Angeles Hematology-Oncology Medical Group

  dba Los Angeles Cancer Network

  • Specialist
  • Los Angeles, CA
  • NPI 1457409674

  O20050601001068

  Same enrollment

Locations

Practitioners 82

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.

• Boris Bagdasarian, D.O.

  • Hematology & Oncology Physician
  • Glendale, CA
  • NPI 1598758062
  NPD Authorized official
• Alireza Abidi, M.D.

  • Gynecologic Oncology Physician
  • Sacramento, CA
  • NPI 1215919477
  NPD
• Vandana Agarwal, MD

  • Hematology & Oncology Physician
  • Pomona, CA
  • NPI 1134124548
  NPD
• Anna Akopyan

  • Adult Health Nurse Practitioner
  • Glendale, CA
  • NPI 1134895899
  NPD
• Maria Teresa Ampudia, PA-C

  • Medical Physician Assistant
  • Anaheim, CA
  • NPI 1407022163
  NPD
• Fikret Atamdede, M.D.

  • Gynecologic Oncology Physician
  • Torrance, CA
  • NPI 1578502480
  NPD
• Rehana S. Baqai, M.D.

  • Hematology & Oncology Physician
  • Corona, CA
  • NPI 1164478855
  NPD
• Jayaram S. Bharadwaj, M.D.

  • Hematology & Oncology Physician
  • Anaheim, CA
  • NPI 1083602155
  NPD
• Nubar Boghossian, M.D.

  • Hematology & Oncology Physician
  • Van Nuys, CA
  • NPI 1508885088
  NPD
• Michael Lance Calub, MA, RN, BSN

  • Acute Care Nurse Practitioner
  • West Hollywood, CA
  • NPI 1831933845
  NPD
• Tiffany Crystle Caragan, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Fountain Valley, CA
  • NPI 1144597543
  NPD
• Raffi A Chalian, MD

  • Gynecologic Oncology Physician
  • Glendale, CA
  • NPI 1184670408
  NPD

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1952516627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER STE 210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064074",
            "telephone_number": "818-696-6994",
            "fax_number": "844-292-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064073",
            "telephone_number": "323-910-4060",
            "fax_number": "818-279-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "BAGDASARIAN",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "818-696-6994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0051272",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Glendale, CA
• Providers in Glendale, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.