Organization Active NPI

Blue Oak Asset Management Inc

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1265966824
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0002888567-0001-5 Issued in CA
Legal business name
BLUE OAK ASSET MANAGEMENT INC
Practice address
5860 Avalon Blvd
Los Angeles, CA 90003-1308
Phone
(909) 204-6612
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Shannon Moore
Title
President
Phone
(562) 506-5215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0002888567-0001-5 CA Primary

Addresses

Primary practice location

5860 Avalon Blvd
Los Angeles, CA 90003-1308

Mailing address

5860 Avalon Blvd
Los Angeles, CA 90003-1308
Phone (909) 204-6612

National Provider Directory

National Provider Directory

Locations

5860 Avalon Blvd
Los Angeles, CA 90003
Phone (323) 232-2874

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1265966824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031308",
            "telephone_number": "909-204-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031308",
            "telephone_number": "909-204-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE OAK ASSET MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-506-5215"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "0002888567-0001-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.