NPIMap

Organization Active NPI

Edward Omron, M.D., Inc.

  • Pulmonary Disease Physician
  • Morgan Hill, CA
National Provider Identifier
1184916991
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A105179 Issued in CA
Legal business name
EDWARD OMRON, M.D., INC.
Practice address
18525 Sutter Blvd
Suite 180
Morgan Hill, CA 95037-8100
Phone
(408) 778-0022
Fax
(408) 778-0055
NPI assigned
May 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Dr. Edward Omron, M.D., M.P.H.
Title
President
Phone
(408) 778-0022

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X A105179 CA
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X 4301069097 MI
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X A105179 CA Primary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X 4301069097 MI

Addresses

Primary practice location

18525 Sutter Blvd
Suite 180
Morgan Hill, CA 95037-8100

Mailing address

18525 Sutter Blvd
Suite 180
Morgan Hill, CA 95037-8100
Phone (408) 778-0022

Other identifiers 1

IdentifierTypeStateIssuer
4718594MedicaidMI

National Provider Directory

National Provider Directory

Locations

18525 Sutter Blvd
Ste 180
Morgan Hill, CA 95037
Phone (408) 778-0022

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1184916991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18525 SUTTER BLVD",
            "address_2": "SUITE 180",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378100",
            "telephone_number": "408-778-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18525 SUTTER BLVD",
            "address_2": "SUITE 180",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378100",
            "telephone_number": "408-778-0022",
            "fax_number": "408-778-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD OMRON, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "OMRON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-778-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A105179",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301069097",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A105179",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301069097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4718594",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.