DR. JON E ODA (NPI# 1215974563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215974563 |
| Entity Type | Individual |
| Full Name | DR. JON E ODA |
| Credential | M.D. |
| Practice Address |
9300 Valley Childrens Pl # Fe10 Madera CA 93636-8761 |
| Mailing Address |
9300 Valley Childrens Pl Ste Sc05 Madera CA 93636-8761 |
| Practice Telephone | 5593535941 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 2005019591 | MO | Allopathic & Osteopathic Physicians |
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
A87272 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | GROUP HEALTH PLAN | 254906V3223 | 01 |
| MO | HEALTHLINK | 724554 | 01 |
| MO | CIGNA | 9807545 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 200319 | 01 |
| MO | 207491002 | 05 | |
| MO | UNITED HEALTHCARE | 2530801 | 01 |
| MO | AETNA | 7925639 | 01 |
| CA | 1215974563 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 621 S New Ballas Rd, Suite 63b, Saint Louis, MO 631418232 | 3149834700 | 3146929862 |
| Street Address |
9300 VALLEY CHILDRENS PL # FE10 |
| City | MADERA |
| State | CA |
| Zip Code | 93636-8761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932181724 | Gary L Arends Jr. | Family Medicine | 9300 Valley Childrens Pl # Fe10, Madera, CA 93636-8761 | 2005-11-16 |
| 1205276458 | Jarreau Chen | Pediatrics | 9300 Valley Childrens Pl # Fe10, Madera, CA 93636-8762 | 2013-07-02 |
| 1760724975 | Lerraughn Marcellus Morgan | Pediatrics | 9300 Valley Childrens Pl # Fe10, Madera, CA 93636-8761 | 2013-03-26 |
| 1114127685 | Purushottam Arjun Gholve | Orthopaedic Surgery | 9300 Valley Childrens Pl # Fe10, Madera, CA 93636-8761 | 2007-07-23 |
| 1407913163 | Sherry Lee Sumner | Physician Assistant | 9300 Valley Childrens Pl # Fe10, Madera, CA 93638-8761 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695257 | Kati Pitts | Social Worker | 9300 Valley Children's Pl., Madera, CA 93636 | 2015-07-29 |
| 1386903177 | Christina Lee-ann Badgett | Registered Nurse | 40617 Rd 406, Madera, CA 93636 | 2012-05-14 |
| 1205134897 | Gina West | Counselor | 10120 Lanes Bridge Dr, Madera, CA 93636 | 2011-03-04 |
| 1326342593 | Re Zaw | Pediatrics | 9300 Valley Children's Place, Residency Dept (ge20), Madera, CA 93636 | 2011-01-03 |
| 1013144179 | Cynthia Romer Fata | Pathology | 9300 Valley Childrens Pl # Sc12, Madera, CA 93636 | 2009-06-16 |
| 1689815888 | Nasser Moiduddin | Pediatrics | 9300 Valley Childrens Pl # PC14, Madera, CA 93636 | 2009-03-18 |
| 1174503338 | James Clifton Horspool | Pediatrics | 9300 Valley Children's Place, Mb01, Madera, CA 93636 | 2006-01-21 |
| 1205818465 | James Weston Hole | Obstetrics & Gynecology | 9300 Valley Children's Pl, Fe16, Madera, CA 93636 | 2005-11-15 |
| 1740838994 | Francisco Alvarez | Nurse Practitioner | 9300 Valley Childrens Pl, Madera, CA 93636 | 2019-08-30 |
| 1679056493 | Catherine K. Beaumier | Surgery | 9300 Valley Children's Pl., Madera, CA 93636 | 2018-09-07 |
| Find all providers in zip 93636 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699014464 | Deric H Nye | Orthopaedic Surgery | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2013-02-13 |
| 1366633554 | Thu-ba Leba | Orthopaedic Surgery | 9300 Valley Childrens Pl, Mail Stop Fe10, Madera, CA 93636-8761 | 2007-08-05 |
| 1902003460 | Kerry Lee Loveland | Orthopaedic Surgery | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2007-06-28 |
| 1467502971 | Sequoia Pediatric Orthopaedics Medical Corporation | Orthopaedic Surgery | 9300 Valley Childrens Pl, #fe10, Madera, CA 93638-8761 | 2007-01-10 |
| 1407871734 | Joseph A Gerardi | Orthopaedic Surgery | 9300 Valley Childrens Pl, Mailstop Fe10, Madera, CA 93636-8761 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154676559 | Michael Stuart Gurvey | Orthopaedic Surgery | 2390 Crombie Ct, Thousand Oaks, CA 91361-5322 | 2012-07-21 |
| 1447573779 | Darvin Charles Foo | Orthopaedic Surgery | 2425 Stockton Blvd Fl 7, Sacramento, CA 95817-2215 | 2010-03-01 |
| 1770793853 | Munir M Uwaydah | Orthopaedic Surgery | 211 S Maclay Ave, San Fernando, CA 91340-3603 | 2007-05-23 |
| 1689894057 | Lawrence Stephen Guinney | Orthopaedic Surgery | 4730 Hoen Ave, Santa Rosa, CA 95405-7868 | 2007-04-26 |
| 1275752602 | Richard Ros Ross Riddell | Orthopaedic Surgery | 20 N Vista De Catalina, Laguna Beach, CA 92651-6755 | 2007-04-24 |
| 1487700738 | James Gibson Gamble | Orthopaedic Surgery | 800 Welch Rd, Suite 212, Palo Alto, CA 94304-1607 | 2007-01-26 |
| 1801962360 | William Oppenheim | Orthopaedic Surgery | 10945 Le Conte Avenue, Rm 3355 Ubberoth Bldg Department of Orthopaedic Surgery, Los Angeles, CA 90095-6902 | 2006-11-27 |
| 1114005352 | Alpine Orthopaedic Medical Group Inc | Orthopaedic Surgery | 2488 N. California St, Stockton, CA 95204-5508 | 2006-11-02 |
| 1528179793 | Regents of The University of California | Orthopaedic Surgery | 100 Medical Plaza Suite 755, Los Angeles, CA 90095-0001 | 2006-08-31 |
| 1215948740 | Leah M Pike | Orthopaedic Surgery | 3742 Katella Ave, 303, Los Alamitos, CA 90720-3102 | 2006-08-10 |
| Find all providers with the same taxonomy | ||||
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| 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.