Individual provider Active NPI

Phyllis S Oreck, RN, FNP, MSN

  • Family Nurse Practitioner
  • Woodland Hills, CA
National Provider Identifier
1023294873
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
380777 Issued in CA
Practice address
4938 Bruges Ave
Woodland Hills, CA 91364-2803
Phone
(818) 571-2096
NPI assigned
Jan 10, 2008
Last updated
Jan 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 380777 CA Primary

Addresses

Primary practice location

4938 Bruges Ave
Woodland Hills, CA 91364-2803

Mailing address

4938 Bruges Ave
Woodland Hills, CA 91364-2803
Phone (818) 571-2096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
380777CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Medical Group, Inc. CurrentSince Jul 18, 2012 Accepting new patients

Locations

524 Union St
#46
San Francisco, CA 94133
Phone (866) 667-0517

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1023294873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 BRUGES AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642803",
            "telephone_number": "818-571-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4938 BRUGES AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642803",
            "telephone_number": "818-571-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORECK",
        "first_name": "PHYLLIS",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "RN, FNP, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "380777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.