Organization Active NPI

Oasis

  • Case Management Agency
  • Anaheim, CA
National Provider Identifier
1184803280
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OASIS
Practice address
1900 E la Palma Ave
101
Anaheim, CA 92805-1647
Phone
(714) 399-3480
Fax
(714) 399-3481
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Shearly Chambless, LCSW
Title
Program Director
Phone
(714) 399-3480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1900 E la Palma Ave
101
Anaheim, CA 92805-1647

Mailing address

1900 E la Palma Ave
101
Anaheim, CA 92805-1647
Phone (714) 399-3480

Other names 1

  • Providence Other name

National Provider Directory

National Provider Directory

Locations

1900 E La Palma Ave
#101
Anaheim, CA 92805
Phone (714) 399-3480

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1184803280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E LA PALMA AVE",
            "address_2": "101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928051647",
            "telephone_number": "714-399-3480",
            "fax_number": "714-399-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E LA PALMA AVE",
            "address_2": "101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928051647",
            "telephone_number": "714-399-3480",
            "fax_number": "714-399-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "CHAMBLESS",
        "authorized_official_first_name": "SHEARLY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "714-399-3480",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.