BLUE OAK MEDICAL GROUP (NPI# 1154788131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154788131 |
| Entity Type | Organization |
| Organization Name | BLUE OAK MEDICAL GROUP |
| Practice Address |
5860 Avalon Blvd Los Angeles CA 90003 |
| Mailing Address |
10801 National Blvd Ste 401 Los Angeles CA 90064-4143 |
| Practice Telephone | 9092046612 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2018-09-04 |
| Authorized Official Name | ROBIN CHORN (DIRECTOR) |
| Authorized Official Telephone | 4242585716 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3303 Wilshire Blvd, Los Angeles, CA 900101704 | 2134809006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306205570 | Blue Oak Medical Group | Clinic/Center | 4300 Long Beach Blvd Ste 170, Long Beach, CA 90807 | 2016-02-17 |
| 1225495203 | Blue Oak Medical Group | Clinic/Center | 10832 Laurel St Ste 102, Rancho Cucamonga, CA 91730 | 2016-01-22 |
| 1851758940 | Blue Oak Medical Group | Clinic/Center | 44105 Jackson St Ste C, Indio, CA 92201 | 2016-01-21 |
| 1194116921 | Blue Oak Medical Group | Clinic/Center | 6931 Van Nuys Blvd Ste 200, Van Nuys, CA 91405 | 2015-02-16 |
| Street Address |
5860 AVALON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356604136 | Cecilia Quigley Groman | Counselor | 5860 Avalon Blvd, Los Angeles, CA 90003-1308 | 2012-06-18 |
| 1265966824 | Blue Oak Asset Management Inc | Durable Medical Equipment & Medical Supplies | 5860 Avalon Blvd, Los Angeles, CA 90003-1308 | 2017-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780227207 | Herminia E Galvez | Counselor | 8005 S. Figueroa Street, Business, Los Angeles, CA 90003 | 2019-10-28 |
| 1720567548 | Banty Dental Corporation | Clinic/Center | 5971 S Main Street, Los Angeles, CA 90003 | 2018-08-13 |
| 1932623030 | Mireya Melendez | Case Manager/Care Coordinator | 5849 Crocker Street Unit L, Los Angeles, CA 90003 | 2017-07-31 |
| 1356865810 | Oscar Montes Jr. | Social Worker | 8220 San Pedro St., Los Angeles, CA 90003 | 2017-07-26 |
| 1619407483 | Tonja Benetta Jordan | Registered Nurse | 5850 South Main St, Los Angeles, CA 90003 | 2017-06-14 |
| 1194254581 | Janae Wilson Shepherd | Registered Nurse | 5850 S Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1649709049 | Eisha Eishawndra Purvis | Registered Nurse | 5850 S. Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1689022477 | Ladan Hariri | Psychiatry & Neurology | 1200 N.state St., Los Angeles, CA 90003 | 2016-06-02 |
| 1811330772 | David Chavez | Dental Assistant | 358 East 76st, Los Angeles, CA 90003 | 2013-04-10 |
| Find all providers in zip 90003 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356819924 | Unete Healthcare Associates LLC | Clinic/Center | 928 S Broadway Apt 813, Los Angeles, CA 90015-4578 | 2018-11-13 |
| 1316387707 | Naila Khalaf | Clinic/Center | 1313 W. 8th St., Ste 100, Los Angeles, CA 90017 | 2013-06-28 |
| 1831211978 | Nasser H Mizban | Clinic/Center | 1904 Bailey St Ste 100, Los Angeles, CA 90033-1700 | 2007-04-06 |
| 1861895401 | Smile Pediatric Therapy and Diagnostics | Clinic/Center | 5000 W Sunset Blvd, Los Angeles, CA 90027-5861 | 2014-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688708 | Kings Industrial Occupational Medical Center Inc | Clinic/Center | 936 G St Ste B, Reedley, CA 93654-2627 | 2020-10-28 |
| 1467067280 | Michael Scott Weiner | Clinic/Center | 2388 Ginger Cir, Newbury Park, CA 91320-3349 | 2020-09-09 |
| 1790396547 | Oak Valley Hospital District | Clinic/Center | 250 S Oak Ave Ste A4, Oakdale, CA 95361-3572 | 2020-08-14 |
| 1013543693 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3600 Juliette Ln # Sr9-01, Santa Clara, CA 95054-1540 | 2020-03-16 |
| 1386287878 | Starlight Therapy Center Inc | Clinic/Center | 1235 Indiana Ct Ste 107, Redlands, CA 92374-4540 | 2019-10-28 |
| 1669956710 | Sacramento Occupational Medical Center | Clinic/Center | 3840 Watt Ave., Number B, Sacramento, CA 95821-2640 | 2018-09-24 |
| 1487106217 | Imperial Valley Occupational Medicine | Clinic/Center | 1850 W Main St Ste E, El Centro, CA 92243-2106 | 2016-10-27 |
| 1306205570 | Blue Oak Medical Group | Clinic/Center | 4300 Long Beach Blvd Ste 170, Long Beach, CA 90807 | 2016-02-17 |
| 1225495203 | Blue Oak Medical Group | Clinic/Center | 10832 Laurel St Ste 102, Rancho Cucamonga, CA 91730 | 2016-01-22 |
| 1851758940 | Blue Oak Medical Group | Clinic/Center | 44105 Jackson St Ste C, Indio, CA 92201 | 2016-01-21 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90003 |
Please comment or provide details below to improve the information on BLUE OAK MEDICAL GROUP.
| 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.