Oso Home Care, Inc.

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

License

PHY 43383 Issued in CA

Legal business name

OSO HOME CARE, INC.

Practice address

17175 Gillette Ave
Irvine, CA 92614-5602

Phone

(949) 660-7126

NPI assigned

Jul 1, 2006

Last updated

Apr 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randy Douglas Bohart, PHARM. D

Title

President

Phone

(949) 660-7126

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215966205. Details of each certification follow.

• CCN 058304 Home health agency · Active · Details

Home health agency certification: CCN 058304

Legal name

OSO HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 22, 2005

Last certification

Mar 28, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 16, 1984 in CA

Enrollment address

17175 Gillette Ave
Irvine, CA 92614-5602

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Oso Home Care, Inc.

  • Home Infusion Agency
  • Burbank, CA
  • NPI 1467726638

  8820083579

  Same PAC ID

Listed as

Oso Home Care, IncCCN 058304 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Feb 22, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Pamela Ann Mizell, CNM

  • Advanced Practice Midwife
  • Irvine, CA
  • NPI 1447891346

  W-2 Managing Employee

  CMS ownership

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tyler Basen, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Mission Viejo, CA
  • NPI 1184069692
  NPD (past)
• William Ezial Berger, M.D.

  • Allergy Physician
  • Mission Viejo, CA
  • NPI 1538260583
  NPD (past)
• Warner W Carr, MD

  • Allergy Physician
  • Laguna Niguel, CA
  • NPI 1184798001
  NPD (past)
• Daniel Kwan Dea, M.D.

  • Pulmonary Disease Physician
  • Burbank, CA
  • NPI 1013005503
  NPD (past)
• Yurzul N Dhanani, MD

  • Pulmonary Disease Physician
  • Hemet, CA
  • NPI 1023184322
  NPD (past)
• Gary W. Gibbon, M.D.

  • Allergy & Immunology Physician
  • Santa Monica, CA
  • NPI 1568484293
  NPD (past)
• Mohsen I Mabudian, M.D.

  • Allergy & Immunology Physician
  • Redlands, CA
  • NPI 1629022819
  NPD (past)
• Pamela Ann Mizell, CNM

  • Advanced Practice Midwife
  • Irvine, CA
  • NPI 1447891346
  NPD (past)
• Warren William Pleskow, MD

  • Internal Medicine Physician
  • Encinitas, CA
  • NPI 1942313036
  NPD (past)
• Mark A Rettenmaier, M.D.

  • Gynecologic Oncology Physician
  • Orange, CA
  • NPI 1134166697
  NPD (past)
• Christina D. Schwindt, M.D.

  • Allergy & Immunology Physician
  • Mision Viejo, CA
  • NPI 1366522518
  NPD (past)
• Stefan Sien, D.O.

  • Pulmonary Disease Physician
  • Murrieta, CA
  • NPI 1932319464
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sohrab Naushad Ali, MD, MSC, FRCSC

  • Urology Physician
  • Orange, CA
  • NPI 1851976260

  Home health agency

  Care Compare affiliation
• Sivagini Ganesh, M.D.

  • Pulmonary Disease Physician
  • Los Angeles, CA
  • NPI 1487846887

  Home health agency

  Care Compare affiliation
• Peter Heseltine, MD, FACP

  • Infectious Disease Physician
  • Orange, CA
  • NPI 1487771432

  Home health agency

  Care Compare affiliation
• Yasir Aslam Qazi, M.D.

  • Nephrology Physician
  • Orange, CA
  • NPI 1326086695

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1215966205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17175 GILLETTE AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145602",
            "telephone_number": "949-660-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17175 GILLETTE AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145602",
            "telephone_number": "949-660-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSO HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "BOHART",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-660-7126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "CA",
            "license": "PHY 43383",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY 43383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashor Oshana, PHARMD
• Yukari Oshima
• Amanda Winona Oshita, PT, DPT
• Malekshah M Oskoui, DMD, CAGS, MSD
• Oso Specialty Infusion, Inc.
• Osp Health Management Inc
• Megan Ostovarpour, PPS
• Laura Ostrove
• Anna Ostrovsky, MFT

• Home Infusion Agency in Irvine, CA
• Providers in Irvine, CA by specialty
• Home Infusion Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.