Organization Active NPI

Optimum Care Network Inc.

  • General Practice Physician
  • Fountain Valley, CA
National Provider Identifier
1063944627
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
129795 Issued in CA
Legal business name
OPTIMUM CARE NETWORK INC.
Practice address
16027 Brookhurst Street
Ste. I-750
Fountain Valley, CA 92708
Phone
(714) 916-0952
Fax
(714) 594-3286
NPI assigned
Mar 31, 2017
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Dr. Meera Sohail, M.DNPI 1982881645
Title
President
Phone
(718) 840-9357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 129795 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 129795 CA
General Practice Physician 208D00000X 129795 CA Primary
Hospitalist Physician 208M00000X 129795 CA

Addresses

Primary practice location

16027 Brookhurst Street
Ste. I-750
Fountain Valley, CA 92708

Mailing address

16027 Brookhurst St Ste I-750
Fountain Valley, CA 92708-1551
Phone (714) 916-0952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170420001327 CA Part B Supplier - Clinic/Group Practice 0446536767 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA; Whittier, CA; Westminster, CA; Victorville, CA; Tustin, CA; South El Monte, CA; Santa Ana, CA; Rosemead, CA…

National Provider Directory

National Provider Directory

Locations

16027 Brookhurst St
Ste I750
Fountain Vly, CA 92708
Phone (714) 916-0952

17692 Beach Blvd
Ste 302
Huntington Beach, CA 92647
Phone (714) 842-7707

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1063944627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST STE I-750",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551",
            "telephone_number": "714-916-0952",
            "fax_number": "714-594-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST STREET",
            "address_2": "STE. I-750",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-916-0952",
            "fax_number": "714-594-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CARE NETWORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "SOHAIL",
        "authorized_official_first_name": "MEERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-840-9357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "129795",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "129795",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "129795",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "129795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.