Marc Daniel Oh, FNP-C, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95023436 Issued in CA

Practice address

31541 Rocca Dr
Castaic, CA 91384-2598

Phone

(661) 207-1326

NPI assigned

Nov 14, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Tri-State Community Healthcare Center

  • Federally Qualified Health Center (FQHC)
  • Adelanto, CA
  • NPI 1508379017
  NPD (past)

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1235847625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31541 ROCCA DR",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913842598",
            "telephone_number": "661-207-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31541 ROCCA DR",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913842598",
            "telephone_number": "661-207-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "MARC",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "FNP-C, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95208278",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Morales
• Betty Najarian
• New Hope Integrative Mental Health Advanced Nursing Inc (New Hope Integrative Mental Health)
• Thu Nguyen
• Beth Kathryn I Oh
• Debra Dawn Osterkamp, CLD, CPD, SBD
• Christina Angela Patterson
• Viktoria Penchuk, M.A.
• Johnny Perez, LCSW
• Private Healthcare Facilities

• Family Nurse Practitioner in Castaic, CA
• Providers in Castaic, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.