Individual provider Active NPI

Oscar Oo, PSY.D.

  • Clinical Psychologist
  • Newport Beach, CA
National Provider Identifier
1427128156
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22699 Issued in CA
Practice address
4000 Macarthur Blvd
Suite 600, East Tower
Newport Beach, CA 92660-2558
Phone
(949) 648-3704
Fax
(714) 352-6471
NPI assigned
Nov 9, 2006
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY22699 CA Primary

Addresses

Primary practice location

4000 Macarthur Blvd
Suite 600, East Tower
Newport Beach, CA 92660-2558

Mailing address

4000 Macarthur Blvd
Suite 600, East Tower
Newport Beach, CA 92660-2558
Phone (949) 648-3704

Other identifiers 1

IdentifierTypeStateIssuer
CS098AOtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100203000806 CA Practitioner - Clinical Psychologist 6406999143 Receives reassigned benefits from 21 practitioners
Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4000 Macarthur Blvd
Newport Beach, CA 92660-2558
Phone (949) 648-3704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY22699CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oscar H. Oo, Psy.D. a Professional Psychological Corporation Clinical Current Accepting new patients

Locations

4000 MacArthur Blvd
Ste 600
Newport Beach, CA 92660
Phone (949) 432-9173

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1427128156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MACARTHUR BLVD",
            "address_2": "SUITE 600, EAST TOWER",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602558",
            "telephone_number": "949-648-3704",
            "fax_number": "714-352-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MACARTHUR BLVD",
            "address_2": "SUITE 600, EAST TOWER",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602558",
            "telephone_number": "949-648-3704",
            "fax_number": "714-352-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OO",
        "first_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CS098A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.