Individual provider Active NPI

Joel Allan Oxman

  • Clinical Child & Adolescent Psychologist
  • Vista, CA
National Provider Identifier
1316163652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY8873 Issued in CA
Practice address
780 Shadowridge Dr
Kaiser Permanente
Vista, CA 92083-7986
Phone
(760) 599-2350
Fax
(760) 599-2399
NPI assigned
Apr 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY8873 CA Primary

Addresses

Primary practice location

780 Shadowridge Dr
Kaiser Permanente
Vista, CA 92083-7986

Mailing address

1667 Splitrail Dr
Encinitas, CA 92024-1985
Phone (760) 944-1426

Other names 1

  • Joel Allan Oxman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316163652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 SPLITRAIL DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241985",
            "telephone_number": "760-944-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SHADOWRIDGE DR",
            "address_2": "KAISER PERMANENTE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920837986",
            "telephone_number": "760-599-2350",
            "fax_number": "760-599-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXMAN",
        "first_name": "JOEL",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY8873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOEL",
            "last_name": "OXMAN",
            "middle_name": "ALLAN",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.