NPIMap

Organization Active NPI

Okerblom Voegele and Hole MD a Professional Corporation

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1477644797
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OKERBLOM VOEGELE AND HOLE MD A PROFESSIONAL CORPORATION
Practice address
1145 E Clark Ave
#F
Santa Maria, CA 93455
Phone
(805) 934-5140
Fax
(805) 934-3500
NPI assigned
Sep 28, 2006
Last updated
May 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Robert W Okerblom, MDNPI 1942358643
Title
President
Phone
(805) 934-5140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1145 E Clark Ave
#F
Santa Maria, CA 93455

Mailing address

1145 E Clark Ave
#F
Santa Maria, CA 93455
Phone (805) 934-5140

Other identifiers 1

IdentifierTypeStateIssuer
DE4276OtherCAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060110001191 CA Part B Supplier - Clinic/Group Practice 3577586031 Receives reassigned benefits from 16 practitioners
Practice locations: Santa Maria, CA

National Provider Directory

National Provider Directory

Locations

1145 E Clark Ave
Ste F
Santa Maria, CA 93455
Phone (805) 448-7469

915 E Stowell Rd
Ste C
Santa Maria, CA 93454
Phone (805) 934-5140

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1477644797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE",
            "address_2": "#F",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93455",
            "telephone_number": "805-934-5140",
            "fax_number": "805-934-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE",
            "address_2": "#F",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93455",
            "telephone_number": "805-934-5140",
            "fax_number": "805-934-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKERBLOM VOEGELE AND HOLE MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "OKERBLOM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-934-5140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE4276",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.