NPIMap

Organization Active NPI

Blue Oak Medical Group

  • Occupational Medicine Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1225495203
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
BLUE OAK MEDICAL GROUP
Practice address
10832 Laurel St Ste 102
Rancho Cucamonga, CA 91730
Phone
(909) 204-6602
NPI assigned
Jan 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Dr. Robin Chorn, MD
Title
Director
Phone
(424) 258-5716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

10832 Laurel St Ste 102
Rancho Cucamonga, CA 91730

Mailing address

10801 National Blvd Ste 401
Los Angeles, CA 90064-4143

National Provider Directory

National Provider Directory
Tax ID family
Blue Oak Medical Group5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1225495203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 NATIONAL BLVD STE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10832 LAUREL ST STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-204-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE OAK MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "CHORN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "424-258-5716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.