Individual provider Active NPI

Oscar H. Otanez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Stanford, CA
National Provider Identifier
1225226590
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A103245 Issued in CA
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

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4412086OtherSTUDENT 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110921000681 CA Practitioner - Pathology 3577734672 Reassigns benefits to 2 organizations

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 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A103245CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saddleback Medical Group Inc CurrentSince May 1, 2018 Accepting new patients
Newport Harbor Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2016 Accepting new patients
Newport Harbor Pathology Medical Group Inc CurrentSince Nov 1, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.