Ocean Park

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

1062291-7 Issued in OR

Legal business name

OCEAN PARK

Practice address

984 Parkview Dr
Brookings, OR 97415-9116

Phone

(541) 469-6817

NPI assigned

May 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jitendra C Patel, MD

Title

Medical Director

Phone

(541) 469-6817

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1437317229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6988",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150355",
            "telephone_number": "541-469-6817",
            "fax_number": "541-469-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 PARKVIEW DR",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159116",
            "telephone_number": "541-469-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "541-469-6817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "OR",
            "license": "1062291-7",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "OR",
            "license": "1062291-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rachelle Noble, PHARM D
• James Thomas Norland, MD
• Northland Hearing Centers, Inc.
• Oak Street Health Care Center P C
• Ashleigh Ocacio
• Ocean Park Memory Care
• Nicholas Ochoa
• Rachel Ochoa
• Carol Oliver, NP
• Oregon Coast Wellness Inc.

• Alzheimer Center (Dementia Center) in Brookings, OR
• Providers in Brookings, OR by specialty
• Alzheimer Center (Dementia Center) in Oregon

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