Omganesh Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OMGANESH CORPORATION

Doing business as

Clinica Pharmacy

Practice address

355 Dover Pkwy Ste C
Delano, CA 93215-3441

Phone

(661) 545-2500

Fax

(661) 545-2501

NPI assigned

Apr 5, 2021

Last updated

Apr 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathaniel ParkNPI 1194298257

Title

Ceo/President/Dir

Phone

(661) 545-2500

Specialties & licenses 1

Addresses

Other names 1

• CLINICA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathaniel Jeong Su Park

  • Pharmacist
  • Bakersfield, CA
  • NPI 1194298257
  NPD Authorized official

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1265011639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 DOVER PKWY STE C",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153441",
            "telephone_number": "661-545-2500",
            "fax_number": "661-545-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 DOVER PKWY STE C",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153441",
            "telephone_number": "661-545-2500",
            "fax_number": "661-545-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMGANESH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "CEO/PRESIDENT/DIR",
        "authorized_official_telephone_number": "661-545-2500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oscar Obregon, PT, DPT
• Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
• Oh DMD Inc (Smileland Dental)
• Angela Ojeda
• Michelle Olivas, LVN
• Omni Family Health
• Omni Family Health
• Omni Family Health
• Omni Family Health
• Omni Family Health

• Community/Retail Pharmacy in Delano, CA
• Providers in Delano, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.