Active NPI
Eamon Joseph O'Hara, RADT
- Addiction (Substance Use Disorder) Counselor
- Newbury Park, CA
National Provider Identifier
1225506504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1328161118
- Practice address
- 1323 Newbury Rd Ste 204
Newbury Park, CA 91320-3687 - Phone
- (310) 739-8345
- NPI assigned
- Nov 5, 2018
- Last updated
- Nov 5, 2018
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1328161118 | CA | Primary |
Addresses
Primary practice location
1323 Newbury Rd Ste 204
Newbury Park, CA 91320-3687
Mailing address
1323 Newbury Rd Ste 204
Newbury Park, CA 91320-3687
Phone (310) 739-8345
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1328161118 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1225506504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 NEWBURY RD STE 204",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913203687",
"telephone_number": "310-739-8345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 NEWBURY RD STE 204",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913203687",
"telephone_number": "310-739-8345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'HARA",
"first_name": "EAMON",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "RADT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-05",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1328161118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newbury Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.