Active NPI
Judith Haejin Oh Leonor, DO
- Pediatrics Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A16074
- Practice address
- 25845 Barton Rd
Loma Linda, CA 92354-3899 - Phone
- (909) 558-3801
- NPI assigned
- Mar 28, 2016
- Last updated
- Mar 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20A16074 | CA | Primary |
Addresses
Primary practice location
25845 Barton Rd
Loma Linda, CA 92354-3899
Mailing address
54701 File Number
Los Angeles, CA 90074-4701
Phone (909) 651-4300
Other names 1
- Judith Haejin Oh
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A16074 | CA | MD | Pediatrics Physician |
| 16074 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sac Health System | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Pediatrics | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Pediatrics | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Pediatrics | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Pediatrics | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Locations
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
9550 Escondido Ave
Hesperia, CA 92345
Phone (760) 662-2500
7223 Church St
Ste C1
Highland, CA 92346
Phone (909) 425-3946
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890
25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
11401 Heacock St
Ste 330
Moreno Valley, CA 92557
Phone (951) 247-8697
11441 Heacock St
Ste C
Moreno Valley, CA 92557
Phone (951) 247-5809
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
25828 Redlands Blvd
Ste 101
Redlands, CA 92373
Phone (909) 307-0126
26780 Barton Rd
Redlands, CA 92373
Phone (909) 558-5174
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
Interoperability endpoints
- johleonor1066035@direct.llu.edu
Organizations & group practices 14
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.
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- NPI 1689624991
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dba SAC Arrowhead
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- Federally Qualified Health Center (FQHC)
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-
- Health Maintenance Organization
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1437511516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54701 FILE NUMBER",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900744701",
"telephone_number": "909-651-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25845 BARTON RD",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543899",
"telephone_number": "909-558-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH LEONOR",
"first_name": "JUDITH",
"middle_name": "HAEJIN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A16074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "OH",
"middle_name": "HAEJIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.