LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
NPI 1386859122
Internal Medicine - Hematology & Oncology in Glendale, CA

Active since May 14, 2007
222 W EULALIA ST, SUITE 100C, GLENDALE, CA 91204(818) 553-8160(818) 553-8152 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2021, Mar 2, 2021 (2 updates tracked since 2021).

About Los Angeles Hematology-oncology Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP (NPI 1386859122) is a healthcare organization registered as a hematology & oncology in Glendale, California and active in the NPI registry since May 2007. The organization lists Boris Bagdasrian, Partner, as its authorized official.

NPPES Registry Identity

NPI1386859122
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameLOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Location Address222 W EULALIA ST, SUITE 100CGlendale, CA 91204-2849
Mailing Address541 W Colorado St Ste 205Glendale, CA 91204-3640 · (323) 254-0046 · Fax (323) 488-9782
Fax(818) 553-8152
Organization SubpartNo
Authorized OfficialBoris BagdasrianPartner · (818) 409-0105
Enumeration DateMay 14, 2007
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1386859122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
222 W EULALIA ST, Glendale, CA 91204

Other Identifiers 1

MedicaidGR0051271CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Los Angeles Hematology-oncology Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

59

Medicare enrollment records show 59 clinicians reassign Medicare billing to Los Angeles Hematology-Oncology Medical Group, which bills Medicare for the services they deliver. Of these, 18 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Hematology/Oncology32
Nurse Practitioner14
Gynecological Oncology6
Medical Oncology3
Gastroenterology1
Hematology1
Internal Medicine1
Obstetrics/Gynecology1

Nearest to this location (20)

See all 59
Hematology/Oncology
NPI 1598758062
1505 WILSON TER SUITE 200
Glendale, CA 91206
(818) 409-0105
✔ PECOS✔ Accepts Medicare2.3 mi
Gynecological Oncology
NPI 1184670408
1505 WILSON TER STE 150
Glendale, CA 91206
(818) 484-8611
✔ PECOS✔ Accepts Medicare2.3 mi
Hematology/Oncology
NPI 1104350917
1505 WILSON TER STE 200
Glendale, CA 91206
(818) 409-0105
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1134895899
1505 WILSON TER STE 200
Glendale, CA 91206
(818) 409-0105
✔ PECOS2.3 mi
Hematology/Oncology
NPI 1316987605
1245 WILSHIRE BLVD STE 303
Los Angeles, CA 90017
(213) 977-1214
✔ PECOS✔ Accepts Medicare5.0 mi
Hematology/Oncology
NPI 1831501840
1245 WILSHIRE BLVD STE 303
Los Angeles, CA 90017
(213) 977-1214
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1336874635
1245 WILSHIRE BLVD STE 303
Los Angeles, CA 90017
(213) 977-1214
✔ PECOS5.0 mi
Nurse Practitioner
NPI 1043375785
1245 WILSHIRE BLVD STE 303
Los Angeles, CA 90017
(213) 977-1214
✔ PECOS5.0 mi
Hematology/Oncology
NPI 1174735658
1245 WILSHIRE BLVD SUITE 303
Los Angeles, CA 90017
(213) 977-1214
✔ PECOS✔ Accepts Medicare5.0 mi
Hematology/Oncology
NPI 1437268174
1245 WILSHIRE BLVD SUITE 303
Los Angeles, CA 90017
(213) 977-1214
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1174266589
1245 WILSHIRE BLVD STE 303
Los Angeles, CA 90017
(213) 977-1214
✔ PECOS5.0 mi
Hematology/Oncology
NPI 1265964795
1245 WILSHIRE BLVD STE 303
Los Angeles, CA 90017
(213) 977-1214
✔ PECOS✔ Accepts Medicare5.0 mi
Hematology/Oncology
NPI 1679992770
1441 EASTLAKE AVE
Los Angeles, CA 90089
(323) 865-3000
✔ PECOS✔ Accepts Medicare5.4 mi
Hematology/Oncology
NPI 1679504393
50 ALESSANDRO PL STE 310
Pasadena, CA 91105
(626) 288-0008
✔ PECOS✔ Accepts Medicare6.0 mi
Hematology/Oncology
NPI 1609022383
50 ALESSANDRO PL STE 310
Pasadena, CA 91105
(626) 288-0008
✔ PECOS✔ Accepts Medicare6.0 mi
Nurse Practitioner
NPI 1346600681
625 S FAIR OAKS AVE STE 400
Pasadena, CA 91105
(626) 568-1622
✔ PECOS✔ Accepts Medicare6.1 mi
Hematology/Oncology
NPI 1770840167
5901 W OLYMPIC BLVD STE 105
Los Angeles, CA 90036
(323) 489-6010
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1831933845
8700 BEVERLY BLVD
West Hollywood, CA 90048
(310) 423-3277
✔ PECOS7.9 mi
Nurse Practitioner
NPI 1952139982
4312 WOODMAN AVE STE 102
Sherman Oaks, CA 91423
(818) 646-2562
✔ PECOS10 mi
Hematology/Oncology
NPI 1417132499
2080 CENTURY PARK E STE 1005
Los Angeles, CA 90067
(310) 229-3535
✔ PECOS✔ Accepts Medicare10 mi
See all 59 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2106319

Los Angeles Hematology Oncology Med Grp · Glendale, CA
Expired · Sep 30, 2026
CLIA Number05D2106319
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Nubar P. Boghossian MD
Laboratory Phone(818) 553-8160
Laboratory LocationLos Angeles Hematology Oncology Med Grp222 W Eulalia St, Ste 100C, Glendale, CA 91204
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Los Angeles Hematology-Oncology Medical Group's NPI number?

The NPI number for Los Angeles Hematology-Oncology Medical Group is 1386859122. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Los Angeles Hematology-Oncology Medical Group located?

Los Angeles Hematology-Oncology Medical Group is located at 222 W Eulalia St Suite 100C, Glendale, CA 91204. The listed phone number is (818) 553-8160.

What is Los Angeles Hematology-Oncology Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Los Angeles Hematology-Oncology Medical Group enrolled in Medicare?

Yes. Los Angeles Hematology-Oncology Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Los Angeles Hematology-Oncology Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 8 Medicare specialties reassign their Medicare billing to Los Angeles Hematology-Oncology Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Hematology/Oncology (32), Nurse Practitioner (14) and Gynecological Oncology (6). Of these, 18 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Los Angeles Hematology-Oncology Medical Group was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.