Organization Active NPI

Michael Oefelein, MD

  • Clinic/Center
  • Tustin, CA
National Provider Identifier
1396916672
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G88466 Issued in CA
Legal business name
MICHAEL OEFELEIN, MD
Practice address
3302 Laviana St
Tustin, CA 92782-1926
Phone
(949) 285-0056
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Dr. Michael G. Oefelein, MD, FACSNPI 1598873184
Title
Urologist
Phone
(949) 285-0056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G88466 CA Primary
Clinic/Center 261Q00000X 11473 MT

Addresses

Primary practice location

3302 Laviana St
Tustin, CA 92782-1926

Mailing address

3302 Laviana Street
Tustin, CA 92782-1926
Phone (949) 285-0056

Other names 1

  • Michael G. Oefelein, MD, FACS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1396916672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 LAVIANA STREET",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821926",
            "telephone_number": "949-285-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 LAVIANA ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821926",
            "telephone_number": "949-285-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL OEFELEIN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "OEFELEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "UROLOGIST",
        "authorized_official_telephone_number": "949-285-0056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G88466",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "11473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael G. Oefelein, MD, FACS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.