Active NPI
Oscar H. Otanez, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A103245
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305 - Phone
- (650) 723-7211
- NPI assigned
- Oct 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A103245 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305
Mailing address
27700 Medical Center Rd
Mission Viejo, CA 92691-6426
Phone (949) 364-7710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4412086 | Other | STUDENT ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Stanford University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 891-1297
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A103245 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saddleback Medical Group Inc | Current | Accepting new patients | |
| Newport Harbor Pathology Medical Group Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Newport Harbor Pathology Medical Group Inc | Current | Accepting new patients |
Locations
16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000
15375 Barranca Pkwy
Ste F101
Irvine, CA 92618
Phone (949) 264-8904
16250 Sand Canyon Ave
Irvine, CA 92618
Phone (855) 999-4641
31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311
23961 Calle de la Magdalena
Ste 500
Laguna Hills, CA 92653
Phone (760) 637-2500
24221 Calle de la Louisa
Ste 200
Laguna Hills, CA 92653
Phone (949) 465-8155
24221 Calle de la Louisa
Ste 400
Laguna Hills, CA 92653
Phone (949) 465-8155
27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744
2901 W Coast Hwy
Ste 200
Newport Beach, CA 92663
Phone (949) 891-1297
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481
805 W La Veta Ave
Ste 104
Orange, CA 92868
Phone (714) 288-4044
Interoperability endpoints
- oscar.otanez.p15@direct.monarchhealthcare.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Newport Beach, CA
- NPI 1790711927
-
- Gastroenterology Physician
- Laguna Hills, CA
- NPI 1386605822
-
- Clinical Medical Laboratory
- Orange, CA
- NPI 1619423282
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1225226590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27700 MEDICAL CENTER RD",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916426",
"telephone_number": "949-364-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "94305",
"telephone_number": "650-723-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTANEZ",
"first_name": "OSCAR",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-11",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A103245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STUDENT ID",
"identifier": "4412086",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.