Alexander C Black
Internal Medicine (Hematology & Oncology)

Address: 23929 Mcbean Pkwy, Bldg F, Ste 215, Valencia, CA 91355-4466
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 23929 Mcbean Pkwy
Bldg F, Ste 215
Valencia
CA 91355-4466
Practice Telephone 6612555350
Mailing Address 5767 W Century Blvd
Suite 200
Los Angeles
CA 90045-5632
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-12
Last Update Date 2010-06-08

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

Other Providers ALEXANDER BLACK

NPI Name Taxonomy Address Enumeration
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 UC REGENTS
Phone Number 3104582381
Gender M
Credential MD
Graduation Year 1983
Primary Specialty HEMATOLOGY/ONCOLOGY
Group Practice PAC ID 1355248584
Number of Group Practice Members 824
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050624 HENRY MAYO NEWHALL HOSPITAL
050056 ANTELOPE VALLEY HOSPITAL
050438 HUNTINGTON MEMORIAL HOSPITAL
051333 RIDGECREST REGIONAL HOSPITAL

Office Location

Street Address 23929 MCBEAN PKWY
BLDG F, STE 215
City VALENCIA
State CA
Zip Code 91355-4466

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699768259 Robert M Horth Internal Medicine 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 2005-08-29
1619216132 Tower Imaging Medical Centers, Inc. Radiology 23929 Mcbean Pkwy, Building F - Suite 109, Valencia, CA 91355-4466 2013-02-04
1669711354 Gregory M Senofsky Md Inc Surgery 23929 Mcbean Pkwy, 110, Valencia, CA 91355-4466 2013-01-31
1588891865 Ucla Hematology and Oncology, Santa Clarita Internal Medicine 23929 Mcbean Pkwy, Bldg. F., Suite 215, Valencia, CA 91355-4466 2009-06-15
1386808624 Daniel Itzhak Brison Urology 23929 Mcbean Pkwy, Valencia, CA 91355-4466 2008-07-16
1689865016 Cardiovascular Consultants Medical Group Internal Medicine 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 2007-08-09
1609067040 Kamyar Amini Otolaryngology 23929 Mcbean Pkwy, Valencia, CA 91355-4466 2007-08-08
1194928770 Joshua Daniel Hanelin Radiology 23929 Mcbean Pkwy, Valencia, CA 91355-4466 2007-06-08
1710196910 Nu T. Lu Internal Medicine 23929 Mcbean Pkwy, 215, Valencia, CA 91355-4466 2007-05-22
1003024191 Srinivas Peddi Radiology 23929 Mcbean Pkwy, Valencia, CA 91355-4466 2007-05-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477033702 Jenna Marie Tombline Licensed Vocational Nurse 25149 Amberley Way, Valencia, CA 91355 2018-08-16
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
1245728468 Mealer Family Therapy Apc Marriage & Family Therapist 27201 Tourney Road #201-r, Valencia, CA 91355 2018-04-24
1720523178 National Vision, Inc. Technician/Technologist 24351 Magic Mountain Pkwy, Santa Clarita, CA 91355 2016-12-21
1659821379 Sarah Jane Ochoa Nurse Practitioner 27875 Smyth Dr Ste 101, Valencia, CA 91355 2016-10-05
1164893376 The Bella Vita, Santa Clarita Psychologist 23861 Mcbean Pkwy #e25, Santa Clarita, CA 91355 2015-10-14
1215307095 Jung O. Kim Nurse Practitioner 23247 Mcbean Parkway, Valencia, CA 91355 2015-10-06
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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 city

NPI Name Taxonomy Address Enumeration
1588891865 Ucla Hematology and Oncology, Santa Clarita Internal Medicine 23929 Mcbean Pkwy, Bldg. F., Suite 215, Valencia, CA 91355-4466 2009-06-15
1710196910 Nu T. Lu Internal Medicine 23929 Mcbean Pkwy, 215, Valencia, CA 91355-4466 2007-05-22
1528093085 John L Barstis Internal Medicine 23929 Mcbean Pkwy, Bldg F Ste 215, Valencia, CA 91355-4466 2006-07-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1528560232 Sochoa Equipment LLC Internal Medicine 26691 Plaza Ste 200, Mission Viejo, CA 92691-8582 2018-03-08
1982106233 Michael Benjmain, M.d., Inc. Internal Medicine 10630 Sepulveda Blvd Ste 202, Mission Hills, CA 91345-1938 2018-03-02
1861917593 Namphuong Tran Internal Medicine 10990 Wilshire Blvd Ste 300, Los Angeles, CA 90024-3937 2017-08-03
1083137947 Julie Smith Internal Medicine 200 Medical Plaza Dr, Los Angeles, CA 90095-2708 2017-07-24
1073034765 Robert Lawrence Cohen Internal Medicine 660 Parrott Dr, San Mateo, CA 94402-3222 2017-07-03
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Competitor

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City VALENCIA
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.

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