NPIMap

Individual provider Active NPI

Anthony S Oh, MD

  • Surgery Physician
  • Montclair, CA
National Provider Identifier
1154401354
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A850292 Issued in CA
Practice address
4950 San Bernardino St Ste 202
Montclair, CA 91763-2328
Phone
(909) 621-7647
Fax
(877) 887-5774
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A850292 CA Primary

Addresses

Primary practice location

4950 San Bernardino St Ste 202
Montclair, CA 91763-2328

Mailing address

4950 San Bernardino St Ste 202
Montclair, CA 91763-2328
Phone (909) 621-7647

Other practice location 1

315 N 3rd Ave Ste 206
Covina, CA 91723-1917
Phone (626) 593-0695

Other identifiers 1

IdentifierTypeStateIssuer
00A850290MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000940 CA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology)Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Surgical Oncology 3971593344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology, Thoracic Surgery
Education
University of California, Geffen School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony S. Oh, M.D., a Medical CorporationGroup PAC ID 4981796620, 2 clinicians

Practice addresses (Care Compare)

4950 San Bernardino St
Suite 202
Montclair, CA 91763-2328
Phone (909) 621-7647

Hospital & facility affiliations

  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • Casa Colina Hospital Hospital, Pomona, CA, CCN 050782
  • San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588
  • Kindred Hospital Ontario Long-term care hospital, Ontario, CA, CCN 052037
  • Kindred Hospital Brea Long-term care hospital, Brea, CA, CCN 052039
  • Kindred Hospital Rancho Long-term care hospital, Rancho Cucamonga, CA, CCN 052049
  • Kindred Hospital Baldwin Park Long-term care hospital, Baldwin Park, CA, CCN 052045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17
Melanoma (skin cancer) excision1-10
Removal of tissue88
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
85029CAMDMarriage & Family Therapist
A850292CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony S. Oh, M.D., a Medical Corporation Surgery CurrentSince Sep 15, 2009 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Rancho Cucamonga Community Hospital, LLC Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients

Locations

315 N 3rd Ave
Ste 206
Covina, CA 91723
Phone (626) 593-0695

315 N 3rd Ave
Ste 304
Covina, CA 91723
Phone (626) 261-4038

315 N 3rd Ave
Ste 102
Covina, CA 91723
Phone (626) 261-4048

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

4950 San Bernardino St
Ste 200
Montclair, CA 91763
Phone (909) 621-7647

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

4950 San Bernardino St
Ste 202
Montclair, CA 91763
Phone (909) 447-5554

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 10

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1154401354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 SAN BERNARDINO ST STE 202",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632328",
            "telephone_number": "909-621-7647",
            "fax_number": "877-887-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 SAN BERNARDINO ST STE 202",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632328",
            "telephone_number": "909-621-7647",
            "fax_number": "877-887-5774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 N 3rd Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917231917",
            "country_code": "US",
            "telephone_number": "626-593-0695",
            "fax_number": "877-887-5774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OH",
        "first_name": "ANTHONY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A850292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A850290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.