Vic S Oyas, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

AZ 21390 Issued in AZ

Practice address

1980 Mesquite Ave Ste 101
Lake Havasu City, AZ 86403-7713

Phone

(928) 680-1919

Fax

(928) 680-0488

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pku9767@yourcarecommunity.org

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

• Havasu Rainbow Pediatrics

  • Clinic/Center
  • Lake Havasu City, AZ
  • NPI 1437340098
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1093806093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 MESQUITE AVE STE 101",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864037713",
            "telephone_number": "928-680-1919",
            "fax_number": "928-680-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 MESQUITE AVE STE 101",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864037713",
            "telephone_number": "928-680-1919",
            "fax_number": "928-680-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYAS",
        "first_name": "VIC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "AZ 21390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "AZ0345820",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138819",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Open MRI of Lake Havasu LLC
• Ramon R Orduno Jr., CRNA
• Kaitlyn April Ornelas
• William S Orr, D.C.
• Eugenia Osbon
• Elizabeth Rorie Page, PT
• Donna Pakula, LAB DIRECTOR
• Pamela Reband MD PC
• Panacea Brain and Spine, LLC
• Panacea Brain and Spine, LLC

• Pediatrics Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.