Alexander C Black
Internal Medicine (Hematology & Oncology)

Address: 27235 Tourney Rd Ste 2400, Santa Clarita, CA 91355-5905
Phone: 6612555350

Alexander C Black (NPI# 1104851500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1104851500
Entity Type Individual
Full Name Alexander C Black
Credential MD
Gender Male
Practice Address 27235 Tourney Rd Ste 2400
Santa Clarita
CA 91355-5905
Practice Telephone 6612555350
Practice Fax Number 6612559907
Mailing Address 5767 W Century Blvd Ste 400
Los Angeles
CA 90045-5631
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-12
Last Update Date 2020-01-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians G58928 CA
Yes 207RH0003X Internal Medicine · Hematology & Oncology Allopathic & Osteopathic Physicians G58928 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA 00G589280 MEDICAID

Secondary Practice Locations

Address Telephone Number Fax Number
625 S Fair Oaks Ave Ste 320, Pasadena, CA 911052674 6263962999 6263962991

Providers with the same name

NPI Name Taxonomy Address Enumeration
1316576044 Alexander Christian Black Student in an Organized Health Care Education/Training Program 2124 Lone Oak Rd, Paris, TN 38242-5218 2020-04-04
1225666738 Alexander Irving Black Student in an Organized Health Care Education/Training Program 514 49th St, Brooklyn, NY 11220-2010 2020-03-30
1437679172 Alexander Black Counselor 612 E Arkansas St, Star City, AR 71667-4842 2017-06-23
1437685849 Alexander Leslie Black Jr. Contractor 31625 Highway 101 S, Soledad, CA 93960-9529 2017-05-04
1326342155 Alexander Jamie Black Social Worker 10740 W Fairview Ave Ste 100, Boise, ID 83713-8050 2011-01-09
1851387252 Alexander Brooks Black Pediatrics Unit 5210 Box 230, Apo, AE 09461 2005-09-22

Physician Overview

NPI 1104851500
PAC ID by PECOS 6800797697
Professional Enrollment ID I20040115000476
Full Name Alexander C Black
Organization Legal Name THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Gender M
Credential MD
Graduation Year 1983
Primary Specialty HEMATOLOGY/ONCOLOGY
Group Practice PAC ID 1355248584
Number of Group Practice Members 862
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050624 HENRY MAYO NEWHALL HOSPITAL
050262 RONALD REAGAN U C L A MEDICAL CENTER
050438 HUNTINGTON MEMORIAL HOSPITAL

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy 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.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396365144 Collin Vu Md, Inc. Internal Medicine 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 2020-04-22
1720626757 Fenix Health Medical Oncology Group PC Internal Medicine 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 2019-12-20
1871141598 Edward A, Wagner, M.d., Inc. Internal Medicine 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 2019-08-27
1255988341 Christopher Lemieux Internal Medicine 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 2019-08-22
1063972131 Titfany Wang Internal Medicine 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 2019-03-23
1649736687 Adventist Health Physicians Network Internal Medicine 95 Declaration Dr Ste 1, Chico, CA 95973-4916 2019-02-14
1518433762 Teamx Medical Group Internal Medicine 7253 N Cherry Ln, Van Nuys, CA 91405-5477 2018-10-15
1508352675 Oncology Physicians Network of California PC Internal Medicine 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 2018-07-02
1881184026 R.w. Weber, M.d., A Medical Corporation Internal Medicine 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 2018-05-14
1982106233 Michael Benjmain, M.d., Inc. Internal Medicine 10630 Sepulveda Blvd Ste 202, Mission Hills, CA 91345-1938 2018-03-02
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Office Location

Street Address 27235 TOURNEY RD STE 2400
City SANTA CLARITA
State CA
Zip Code 91355-5905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982792891 Gregory Michael Senofsky Surgery 27235 Tourney Rd Ste 2400, Santa Clarita, CA 91355-5905 2006-10-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578197661 Kathleen Megan Murphy Cross Counselor 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 2020-02-27
1780226340 Logan Veis Behavior Technician 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 2019-10-15
1376192906 Yosef Desta Behavior Technician 25115 Ave Standard, Suit A100, Valencia, CA 91355 2019-09-06
1063060960 Michauni Kimbrew Behavior Analyst 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 2019-09-04
1427607357 Alissa Meadow Myatt Social Worker Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 2019-09-04
1124672761 Genon Catarroja Behavior Technician 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 2019-08-01
1730675455 Jaquelyn Marlene Escobar Community Health Worker 24525 Town Center Drive, Valencia, CA 91355 2018-07-05
1265922843 Jomil Prenzirose Conste Behavior Technician 25115 Avenue M14 Suite A, Valencia, CA 91355 2018-05-18
1952899460 Kim Nicola Brown Dietitian, Registered 24525 Town Center Dr, Valencia, CA 91355 2018-04-30
1780172668 Nathan Sparks Counselor 24762 Masters Cup Way, Valencia, CA 91355 2018-04-26
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Competitor

Search similar providers

City SANTA CLARITA
Zip Code 91355

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.