Oak Tree ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

930000938 Issued in CA

Legal business name

OAK TREE ASC, LLC

Practice address

751 Cordova St
Ste 2
Pasadena, CA 91101-2617

Phone

(626) 577-2525

Fax

(626) 577-2986

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Edmund Wycoff, BA

Title

Administrator

Phone

(626) 577-3415

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1417051533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 CORDOVA ST",
            "address_2": "STE 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012617",
            "telephone_number": "626-577-2525",
            "fax_number": "626-577-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 CORDOVA ST",
            "address_2": "STE 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012617",
            "telephone_number": "626-577-2525",
            "fax_number": "626-577-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "WYCOFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-577-3415",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Michael O'Toole, M.D.
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• Courtney Bre'Ann Oaties

• Ambulatory Surgical Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.