Individual provider Active NPI

Maureen Ohara, PAC

  • Physician Assistant
  • Downey, CA
National Provider Identifier
1215019575
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12723 Issued in CA
Practice address
7601 East Imperial Hwy
Room Hb145
Downey, CA 90242
Phone
(562) 401-7225
Fax
(562) 401-7615
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12723 CA Primary

Addresses

Primary practice location

7601 East Imperial Hwy
Room Hb145
Downey, CA 90242

Mailing address

4576 Twining Street
Los Angeles, CA 90032-2033
Phone (323) 222-6454

Other identifiers 1

IdentifierTypeStateIssuer
M052014OtherCACOUNTY OF LOS ANGELES RANCHO LOS AMIGOS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA12723CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1215019575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 TWINING STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900322033",
            "telephone_number": "323-222-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 EAST IMPERIAL HWY",
            "address_2": "ROOM HB145",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90242",
            "telephone_number": "562-401-7225",
            "fax_number": "562-401-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHARA",
        "first_name": "MAUREEN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA12723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY OF LOS ANGELES RANCHO LOS AMIGOS",
            "identifier": "M052014",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.