Organization Active NPI

Paul Oberon, Psy.D., Inc.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1093195661
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY14806 Issued in CA
Legal business name
PAUL OBERON, PSY.D., INC.
Practice address
7421 Beverly Blvd
#10
Los Angeles, CA 90036-2703
Phone
(323) 937-7777
Fax
(323) 937-2222
NPI assigned
Jun 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Dr. Paul Oberon, PSY.D.NPI 1972660561
Title
Clinical Psychologist
Phone
(323) 937-7777

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY14806 CA Primary

Addresses

Primary practice location

7421 Beverly Blvd
#10
Los Angeles, CA 90036-2703

Mailing address

7421 Beverly Blvd
#10
Los Angeles, CA 90036-2703
Phone (323) 937-7777

Other names 1

  • Paul Oberon, Psy.D. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Paul Oberon PSYD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1093195661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 BEVERLY BLVD",
            "address_2": "#10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362703",
            "telephone_number": "323-937-7777",
            "fax_number": "323-937-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 BEVERLY BLVD",
            "address_2": "#10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362703",
            "telephone_number": "323-937-7777",
            "fax_number": "323-937-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL OBERON, PSY.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "OBERON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "323-937-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul Oberon, Psy.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.