Odyssey ASC Endoscopy Center LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

ODYSSEY ASC ENDOSCOPY CENTER LLC

Practice address

22 Odyssey
Ste 175
Irvine, CA 92618-3186

Phone

(949) 654-8963

NPI assigned

Feb 18, 2010

Last updated

Feb 18, 2020By 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

Dr. Jun-Ichi Ohara, M.D.NPI 1578665667

Title

Medical Director

Phone

(949) 654-8963

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Odyssey ASC Endoscopy Center LLCCCN 05C0001956

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Jun-Ichi Ohara, M.D., PH.D.

  • Gastroenterology Physician
  • Irvine, CA
  • NPI 1578665667
  NPD Authorized official
• Miwako Ohara-Hsu, M.D.

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1023451903
  NPD (past)
• Junko Ohara, MD

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1609434075
  NPD (past)

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1093037020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "STE 175",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183186",
            "telephone_number": "949-654-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "STE 175",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183186",
            "telephone_number": "949-654-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY ASC ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "OHARA",
        "authorized_official_first_name": "JUN-ICHI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-654-8963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Ochoa
• Celeste Ochoa
• Gavin Cusi Octaviano
• Beverly Oden, LPCC
• Joan Marie Odom, MD
• Michael Vincent Ogden
• Jessica Rene Ogena
• Claire Oh
• Daniel Sangwon Oh, M.D.
• Daniel Young Oh, RPH

• Endoscopy Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Endoscopy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.