Active NPI
Maureen Oneill, MD
- Pediatrics Physician
- Hawthorne, CA
National Provider Identifier
1114928744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G74915
- Practice address
- 12618 Hawthorne Blvd.
Hawthorne, CA 90250-2325 - Phone
- (310) 263-5700
- NPI assigned
- Aug 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G74915 | CA | Primary |
Addresses
Primary practice location
12618 Hawthorne Blvd.
Hawthorne, CA 90250-2325
Mailing address
12618 Hawthorne Blvd.
Hawthorne, CA 90250-2325
Phone (310) 263-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G74915 | CA | MD | Pediatrics Physician |
Interoperability endpoints
- moneill191890@oc.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114928744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12618 HAWTHORNE BLVD.",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502325",
"telephone_number": "310-263-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12618 HAWTHORNE BLVD.",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502325",
"telephone_number": "310-263-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONEILL",
"first_name": "MAUREEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G74915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.