Active NPI
Blue Oak Asset Management Inc
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
National Provider Identifier
1265966824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0002888567-0001-5
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.