Organization Active NPI

Mountain Oak Health Centers

  • Rural Health Clinic/Center
  • San Andreas, CA
National Provider Identifier
1013220052
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MOUNTAIN OAK HEALTH CENTERS
Practice address
556 Mountain Ranch Road
San Andreas, CA 95249-0536
Phone
(209) 498-2014
Fax
(209) 498-2143
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Josie Martinez Ornum, NURSE PRACTITIONER
Title
Director
Phone
(209) 890-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

556 Mountain Ranch Road
San Andreas, CA 95249-0536

Mailing address

PO Box 536
San Andreas, CA 95249-0536
Phone (209) 498-2014

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1013220052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952490536",
            "telephone_number": "209-498-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 MOUNTAIN RANCH ROAD",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952490536",
            "telephone_number": "209-498-2014",
            "fax_number": "209-498-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN OAK HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ ORNUM",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-890-8660",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Andreas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.