Ola M Medhat, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6575 Issued in CA

Practice address

412 Olive Ave
# 140
Huntington Beach, CA 92648-5142

Phone

(949) 275-4548

NPI assigned

Jun 21, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Pacific Coast Medical Group Inc

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1326172701
  NPD (past) Authorized official

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1477559979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21323 VELETA CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485326",
            "telephone_number": "949-275-4548",
            "fax_number": "949-275-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 OLIVE AVE",
            "address_2": "# 140",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485142",
            "telephone_number": "949-275-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDHAT",
        "first_name": "OLA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Me Pivot Holdings LLC
• Meadowlark Gardens, Inc.
• Rebecca Meastas, BCBA
• Medcarepro Health
• Medex Inc.
• Margaret J Medhus, LMFT
• Medical Diagnostic Services of Orange County , Inc
• Anthony Medina, REGISTERED DIETITIAN
• Jaqueline Guadalupe Medina
• Karina Kathleen Medina

• Family Medicine Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.

Verify at the official NPI Registry.