BLUE OAK MEDICAL GROUP (NPI# 1306205570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306205570 |
| Entity Type | Organization |
| Organization Name | BLUE OAK MEDICAL GROUP |
| Practice Address |
4300 Long Beach Blvd Ste 170 Long Beach CA 90807 |
| Mailing Address |
10801 National Blvd Ste 520 Los Angeles CA 90064-4149 |
| Practice Telephone | 5622165400 |
| Mailing Telephone | 4242585716 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2018-09-04 |
| Authorized Official Name | DR. ROBIN CHORN (EXECUTIVE 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1154788131 | Blue Oak Medical Group | Clinic/Center | 5860 Avalon Blvd, Los Angeles, CA 90003 | 2016-01-22 |
| 1194116921 | Blue Oak Medical Group | Clinic/Center | 6931 Van Nuys Blvd Ste 200, Van Nuys, CA 91405 | 2015-02-16 |
| Street Address |
4300 LONG BEACH BLVD STE 170 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210126 | Pegasus Imaging, LLC | Clinic/Center | 4300 Long Beach Blvd Ste 170, Long Beach, CA 90807-2015 | 2020-09-22 |
| 1639604531 | Robert Taylor | Clinic/Center | 4300 Long Beach Blvd Ste 170, Long Beach, CA 90807-2015 | 2017-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639604531 | Robert Taylor | Clinic/Center | 4300 Long Beach Blvd Ste 170, Long Beach, CA 90807-2015 | 2017-04-28 |
| 1912219635 | Centinela Medical Center of South Bay Inc. | Clinic/Center | 1125 Cherry Ave, Long Beach, CA 90813-3911 | 2010-07-10 |
| 1861612574 | Long Beach Memorial Medical Center | Clinic/Center | 1720 Termino Ave, Long Beach, CA 90804 | 2007-04-26 |
| 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 |
| 1356819924 | Unete Healthcare Associates LLC | Clinic/Center | 928 S Broadway Apt 813, Los Angeles, CA 90015-4578 | 2018-11-13 |
| 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 |
| 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 | LONG BEACH |
| Zip Code | 90807 |
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.