Oak Haven Medical Group Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

OAK HAVEN MEDICAL GROUP INC

Practice address

1827 S Court St Ste C
Visalia, CA 93277-5469

Phone

(559) 570-0501

Fax

(559) 570-0503

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Lisa Higgins, NPNPI 1477956688

Title

Owner

Phone

(559) 827-2461

Specialties & licenses 1

Addresses

Other names 1

• Oak Haven Diabetes Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Higgins, FNP

  • Family Nurse Practitioner
  • Exeter, CA
  • NPI 1477956688
  Medicare reassignment Care Compare group NPD Authorized official
• Jordan Sierra Surfus, NP

  • Nurse Practitioner
  • Visalia, CA
  • NPI 1790569598
  Medicare reassignment Care Compare group NPD
• Sukhjiwan Kaur

  • Family Nurse Practitioner
  • Clovis, CA
  • NPI 1306558085
  NPD (past)
• Mary F Simon, M.D.

  • Pediatrics Physician
  • Fresno, CA
  • NPI 1194711275
  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1265001002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 S COURT ST STE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775469",
            "telephone_number": "559-570-0501",
            "fax_number": "559-570-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 S COURT ST STE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775469",
            "telephone_number": "559-570-0501",
            "fax_number": "559-570-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HAVEN MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-827-2461",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Haven Diabetes Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oak Haven Diabetes Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Herschel Richard O'Brien, LPCC
• Madison O'Donnell
• Natalie Diane O'Neal
• Kelly O'Shea, OD
• Oak Creek Anesthesia Services, Inc.
• Oakstone Psychiatric Practice
• Oakview Medical Group a Medical Corporation
• Joshua O. Obamedo, MD
• Hope Obermiller
• Matthew Woodruff Oblad, O.D.

• Endocrinology, Diabetes & Metabolism Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.