Active NPI
Michael Oefelein, MD
- Clinic/Center
- Tustin, CA
National Provider Identifier
1396916672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- G88466
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael G. Oefelein, MD, FACS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Bakersfield, CA
- NPI 1598873184
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.