The Oasis Medical Clinic Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

THE OASIS MEDICAL CLINIC INC

Practice address

2635 Walnut St
Huntington Park, CA 90255-5709

Phone

(323) 200-4525

NPI assigned

Oct 2, 2014

Last updated

Oct 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles SangmoahNPI 1093009359

Title

Administrator

Phone

(323) 200-4525

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Sangmoah

  • Physician Assistant
  • Huntington Park, CA
  • NPI 1093009359
  Authorized official Same address or phone

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1013310135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 WALNUT ST",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 WALNUT ST",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555709",
            "telephone_number": "323-200-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OASIS MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "SANGMOAH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-200-4525"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Clinic/Center in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.