Active NPI
Eric Oh
- Registered Nurse
- Brea, CA
National Provider Identifier
1124805247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95050348
- Practice address
- 2373 Sweetwater Dr.
Brea, CA 92821-6112 - Phone
- (562) 565-9585
- NPI assigned
- Sep 12, 2023
- Last updated
- Sep 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95050348 | CA | Primary |
Addresses
Primary practice location
2373 Sweetwater Dr.
Brea, CA 92821-6112
Mailing address
2375 E Imperial Hwy # 1012
Brea, CA 92821-6112
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95050348 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caselogix LLC | Current | Accepting new patients |
Locations
2375 E Imperial Hwy
Brea, CA 92821
Phone (562) 217-3192
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1124805247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2375 E IMPERIAL HWY # 1012",
"city": "BREA",
"state": "CA",
"postal_code": "928216112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2373 SWEETWATER DR.",
"city": "BREA",
"state": "CA",
"postal_code": "928216112",
"telephone_number": "562-565-9585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "ERIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-12",
"last_updated": "2023-09-12",
"certification_date": "2023-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95050348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.