Om Healthcare, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

OM HEALTHCARE, INC.

Practice address

3777 Long Beach Blvd Ste 260
Long Beach, CA 90807-3338

Phone

(626) 614-7878

NPI assigned

May 24, 2022

Last updated

May 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary Frazier

Title

Chief Executive Officer

Phone

(626) 614-7878

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1316685829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 LONG BEACH BLVD STE 260",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073338",
            "telephone_number": "626-614-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 LONG BEACH BLVD STE 260",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073338",
            "telephone_number": "626-614-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-614-7878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Annette Olvera
• Genaro Olvera
• Kendra Olvera
• Maria Alejandra Olvera
• Rose Raksmie Om Hieng I, CASE MANAGER
• Eileen Austria Om
• Omega Family Dental
• Arline Corpuz Omne, LVN
• Omni on Premises

• Health Service Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.