Organization Active NPI

Ocean Side Home Health Services,Inc.

Doing business as Oceanside Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1265553911
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
45465 Issued in CA
Legal business name
OCEAN SIDE HOME HEALTH SERVICES,INC.
Doing business as
Oceanside Medical Supplies
Oceanside Home Health Services, Inc.
Practice address
4322 Wilshire Blvd
Suite 208
Los Angeles, CA 90010-3793
Phone
(323) 934-5050
Fax
(323) 934-9850
NPI assigned
Apr 2, 2007
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
OCEAN SIDE HOME HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Thomas Tilahun
Title
Administrator
Phone
(323) 934-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 45465 CA Primary

Addresses

Primary practice location

4322 Wilshire Blvd
Suite 208
Los Angeles, CA 90010-3793

Mailing address

4322 Wilshire Blvd
Suite 208
Los Angeles, CA 90010-3793
Phone (323) 934-5050

Other names 2

  • OCEANSIDE MEDICAL SUPPLIES Doing business as
  • Oceanside Home Health Services, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061553 CA DME Supplier - Medical Supply Company 0143237222 Practice locations: Los Angeles, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ocean Side Home Health Services Inc4322 Wilshire Blvd, Los Angeles, CA 90010-3792(323) 934-5050 Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift … Does not accept assignmentParticipating since Feb 7, 2005

National Provider Directory

National Provider Directory
Tax ID family
Ocean Side Home Health Servicesinc2 organizations share this tax ID, including this one
Part of
Ocean Side Home Health Servicesinc

Other organizations with this tax ID 1

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

Locations

4322 Wilshire Blvd
Ste 208
Los Angeles, CA 90010
Phone (323) 934-5050

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1265553911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 WILSHIRE BLVD",
            "address_2": "SUITE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103793",
            "telephone_number": "323-934-5050",
            "fax_number": "323-934-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 WILSHIRE BLVD",
            "address_2": "SUITE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103793",
            "telephone_number": "323-934-5050",
            "fax_number": "323-934-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN SIDE HOME HEALTH SERVICES,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCEAN SIDE HOME HEALTH SERVICES, INC.",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "TILAHUN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-934-5050"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCEANSIDE MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oceanside Home Health Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oceanside Home Health Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.