Og Medical Inc

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

OG MEDICAL INC

Practice address

345 Franconia St
San Francisco, CA 94110-5314

Phone

(804) 513-6252

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Tim Ortlip, MD

Title

Cfo

Phone

(804) 513-6252

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dominick John Gadaleta, M.D.

  • Facial Plastic Surgery Physician
  • Palo Alto, CA
  • NPI 1114339942
  Medicare reassignment Care Compare group NPD
• Timothy Eun Ortlip, M.D.

  • Facial Plastic Surgery Physician
  • Fremont, CA
  • NPI 1518223981

  Otolaryngology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1386392264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 FRANCONIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105314",
            "telephone_number": "804-513-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 FRANCONIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105314",
            "telephone_number": "804-513-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OG MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "ORTLIP",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "804-513-6252",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Officemd, a Medical Corporation (Downtown Medical Group)
• Kenneth Ofigho
• David Ofman, MD
• Ella Ofori, MPH
• Emanuel Ofrasio, LVN
• Donald Hideo Oga, DDS
• Jennifer Ochanya Ogah
• David N. Ogami, M.D.
• Shinobu Sophia Ogasawara
• Lucy Ogbu-Nwobodo, MD

• Facial Plastic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.