Individual provider Active NPI

Phillip Yukio Oka Jr, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CA
National Provider Identifier
1114813029
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95035487 Issued in CA
Practice address
302 W la Veta Ave Ste 202
Orange, CA 92866-2607
Phone
(714) 545-5550
NPI assigned
Jun 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95035487 CA Primary

Addresses

Primary practice location

302 W la Veta Ave Ste 202
Orange, CA 92866-2607

Mailing address

19782 Macarthur Blvd Ste 300
Irvine, CA 92612-2417
Phone (714) 545-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331002545 CA Practitioner - Nurse Practitioner 1951886662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Neuropsychiatric Specialists IncGroup PAC ID 3375796170, 70 clinicians

Practice addresses (Care Compare)

302 W la Veta Ave
Suite 202
Orange, CA 92866-2607
Phone 7145455550810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95035487CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foresight Mental Health Psychiatric/Mental Health CurrentSince Jul 22, 2025 Accepting new patients
Pacific Neuropsychiatric Specialists Inc. CurrentSince Feb 24, 2026 Accepting new patients
Hoag Hospital PastSince Feb 24, 2026 Accepting new patients

Locations

3151 Airway Ave
Ste G1
Costa Mesa, CA 92626
Phone (949) 706-5215

19782 MacArthur Blvd
Ste 300
Irvine, CA 92612

11 Golden Shore
Ste 350
Long Beach, CA 90802
Phone (562) 253-7688

302 W La Veta Ave
Ste 202
Orange, CA 92866
Phone 7145455550810

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1114813029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19782 MACARTHUR BLVD STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122417",
            "telephone_number": "714-545-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W LA VETA AVE STE 202",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662607",
            "telephone_number": "714-545-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKA JR",
        "first_name": "PHILLIP",
        "middle_name": "YUKIO",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95035487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.