NPIMap

Organization Active NPI

Blue Oak Medical Group

  • Occupational Medicine Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1154788131
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
BLUE OAK MEDICAL GROUP
Practice address
5860 Avalon Blvd
Los Angeles, CA 90003
Phone
(909) 204-6612
NPI assigned
Jan 22, 2016
Last updated
Sep 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Robin Chorn, MD
Title
Director
Phone
(424) 258-5716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

5860 Avalon Blvd
Los Angeles, CA 90003

Mailing address

10801 National Blvd Ste 401
Los Angeles, CA 90064-4143

Other practice location 1

3303 Wilshire Blvd
Los Angeles, CA 90010-1704
Phone (213) 480-9006

National Provider Directory

National Provider Directory
Tax ID family
Blue Oak Medical Group5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3303 Wilshire Blvd
Los Angeles, CA 90010
Phone (213) 283-1300

NPI Registry JSON

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1154788131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 NATIONAL BLVD STE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90003",
            "telephone_number": "909-204-6612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3303 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900101704",
            "country_code": "US",
            "telephone_number": "213-480-9006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE OAK MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "CHORN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "424-258-5716",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.