Individual provider Active NPI

Michael Kevin O'Shea, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hacienda HTS, CA
National Provider Identifier
1295846152
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2624 Issued in CA
Practice address
3180 Colima Rd Ste a
Hacienda HTS, CA 91745-6315
Phone
(626) 961-1882
Fax
(626) 257-9093
NPI assigned
Aug 31, 2006
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E2624 CA Primary

Addresses

Primary practice location

3180 Colima Rd Ste a
Hacienda HTS, CA 91745-6315

Mailing address

3180 Colima Rd Ste a
Hacienda HTS, CA 91745-6315
Phone (626) 961-1882

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080922000398 CA Practitioner - Podiatry 2365519022 Reassigns benefits to 3 organizations
Practice locations: Hacienda Heights, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hassan a. Kobaissi DPMGroup PAC ID 2264743657, 4 clinicians

Practice addresses (Care Compare)

1901 W Lugonia Ave
Suite 120 130
Redlands, CA 92374-9703
Phone (909) 557-1600

3180 Colima Rd
Suite a
Hacienda Heights, CA 91745-6315
Phone (626) 961-1882

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue62
Removal or shaving of skin growth29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2624CAMDFoot & Ankle Surgery Podiatrist
2624CAMDMental Health Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jun 4, 2022 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Mar 1, 2012 Accepting new patients
Hassan a Kobaissi DPM Foot & Ankle Surgery CurrentSince Apr 1, 2016 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 4, 2022 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Mar 1, 2012 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
San Bernardino Mountains Community Hospital District Past Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Caremore Medical Group Inc Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

835 Highland Springs Ave
Ste 210
Beaumont, CA 92223
Phone (626) 493-6348

3180 Colima Rd
Ste A
Hacienda Hts, CA 91745
Phone (626) 961-1644

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607

1801 Orange Tree Ln
Ste 240
Redlands, CA 92374

1901 W Lugonia Ave
Ste 120
Redlands, CA 92374
Phone (909) 557-1626

1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: michael.oshea.1@32527.direct.athenahealth.com
  • Direct secure messaging: michael.oshea.p2@direct.caremorewest.nextgenshare.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1295846152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 COLIMA RD STE A",
            "city": "HACIENDA HTS",
            "state": "CA",
            "postal_code": "917456315",
            "telephone_number": "626-961-1882",
            "fax_number": "626-257-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 COLIMA RD STE A",
            "city": "HACIENDA HTS",
            "state": "CA",
            "postal_code": "917456315",
            "telephone_number": "626-961-1882",
            "fax_number": "626-257-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "MICHAEL",
        "middle_name": "KEVIN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hacienda HTS, CA

Sources for this page

Verify at the official NPI Registry.