Organization Active NPI

Oasis Health and Wellness Center, Inc.

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Sacramento, CA
National Provider Identifier
1013340751
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X
License
17711 Issued in CA
Legal business name
OASIS HEALTH AND WELLNESS CENTER, INC.
Practice address
7275 E. Southgate Dr Suit 408
Sacramento, CA 95823-2629
Phone
(916) 479-1332
NPI assigned
Aug 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Sandra Imade Odiase, DNP, PMHNP, FNP-BC
Title
Vice President
Phone
(916) 479-1332

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X 17711 CA
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X 17711 CA
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0810X 17711 CA Primary

Addresses

Primary practice location

7275 E. Southgate Dr Suit 408
Sacramento, CA 95823-2629

Mailing address

7275 E Southgate Dr Ste 408
Sacramento, CA 95823-2632
Phone (916) 706-0416

National Provider Directory

National Provider Directory

Locations

7275 E Southgate Dr
Ste 408
Sacramento, CA 95823
Phone (916) 479-1332

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1013340751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 E SOUTHGATE DR STE 408",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232632",
            "telephone_number": "916-706-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 E. SOUTHGATE DR SUIT 408",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232629",
            "telephone_number": "916-479-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS HEALTH AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "ODIASE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "IMADE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "916-479-1332",
        "authorized_official_credential": "DNP, PMHNP,  FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "17711",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "17711",
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "CA",
            "license": "17711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.