BRYAN C OH (NPI# 1639355472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639355472 |
| Entity Type | Individual |
| Full Name | BRYAN C OH |
| Credential | M.D. |
| Practice Address |
4631 Teller Ave Ste 100 Newport Beach CA 92660-8105 |
| Practice Telephone | 9493357500 |
| Practice Fax Number | 9493871206 |
| Mailing Telephone | 9493357500 |
| Mailing Fax Number | 9493871206 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2014-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | A80845 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 5592138 | 05 |
| Street Address |
4631 TELLER AVE STE 100 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-8105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124100300 | Michael P Blasko | Physician Assistant | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2006-10-19 |
| 1003444597 | Starly Alvarado | Nurse Practitioner | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2020-03-30 |
| 1437782554 | Tamar Michelle Katz | Psychiatry & Neurology | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2020-02-17 |
| 1477029791 | Tannaz Jourabchian | Physician Assistant | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2018-10-15 |
| 1972890796 | Brain and Spine Institute of California, Inc. | Anesthesiology | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2011-06-30 |
| 1790841799 | Navid Farahmand | Anesthesiology | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1598317711 | Newport Beach Neurosurgical Institute | Neurological Surgery | 1501 Superior Ave Ste 214b, Newport Beach, CA 92663-3600 | 2019-07-09 |
| 1740685791 | Disc Comfort Inc. | Neurological Surgery | 351 Hospital Rd Ste 202, Newport Beach, CA 92663-3504 | 2014-10-31 |
| 1699014019 | Basic On-call, LLC | Neurological Surgery | 4631 Teller Ave, Suite 100, Newport Beach, CA 92660-8105 | 2013-02-05 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| 1811145881 | Daniel S Yanni | Neurological Surgery | 1501 Superior Ave Ste 214, Newport Beach, CA 92663-3640 | 2008-09-03 |
| 1033312608 | Robert George Louis Jr. | Neurological Surgery | 3900 W Coast Hwy Ste 300, Newport Beach, CA 92663-4093 | 2007-06-08 |
| 1013052133 | Robert S. Bray Md, Inc | Neurological Surgery | 3501 Jamboree Road, Suite 1250, Newport Beach, CA 92660-2904 | 2007-02-20 |
| 1407879950 | Deborah Christine Henry | Neurological Surgery | 11 Balboa Cv, Newport Beach, CA 92663-3226 | 2006-07-25 |
| 1881622496 | Oleg K. Chikovani | Neurological Surgery | 360 San Miguel Dr Ste 609, Newport Beach, CA 92660-7832 | 2006-06-30 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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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.