Oceana Pathology, Inc.

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

Legal business name

OCEANA PATHOLOGY, INC.

Practice address

26501 Rancho Pkwy S Ste 103
Lake Forest, CA 92630-8359

Phone

(949) 306-5115

NPI assigned

Mar 18, 2021

Last updated

Mar 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamal Mohammmad Mazen, MD

Title

President/Owner

Phone

(949) 306-5115

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1447836788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PRAIRIE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926188840",
            "telephone_number": "949-306-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26501 RANCHO PKWY S STE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308359",
            "telephone_number": "949-306-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANA PATHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "MAZEN",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "MOHAMMMAD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "949-306-5115",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.