Active NPI
Andrew Oh, DC
- Chiropractor
- Moreno Valley, CA
National Provider Identifier
1033960497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 36601
- Practice address
- 22635 Alessandro Blvd Ste 400
Moreno Valley, CA 92553-8550 - Phone
- (951) 697-0246
- NPI assigned
- Apr 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 36601 | CA | Primary |
Addresses
Primary practice location
22635 Alessandro Blvd Ste 400
Moreno Valley, CA 92553-8550
Mailing address
5880 Fair Isle Dr Apt 22
Riverside, CA 92507-8452
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36601 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1033960497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5880 FAIR ISLE DR APT 22",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925078452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22635 ALESSANDRO BLVD STE 400",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925538550",
"telephone_number": "951-697-0246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "ANDREW",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "36601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.