Individual provider Active NPI

Oxana Kogout

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1477910214
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95014757 Issued in CA
Practice address
1250 N Bellflower Blvd
Long Beach, CA 90840-0004
Phone
(602) 904-0549
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 758333 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95014757 CA Primary

Addresses

Primary practice location

1250 N Bellflower Blvd
Long Beach, CA 90840-0004

Mailing address

19431 Castlewood Cir
Huntington Beach, CA 92648-5534

Other practice location 1

1707 Eye St # 100
Bakersfield, CA 93301-5208
Phone (661) 310-3688

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004001084 CA Practitioner - Nurse Practitioner 5395033526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enara Family Counseling P CGroup PAC ID 0749718385, 6 clinicians
County of KernGroup PAC ID 7810887205, 75 clinicians

Practice addresses (Care Compare)

El Cajon, CA 92020
Phone (619) 573-1779

3117 Wilson Rd
Bakersfield, CA 93304-5319
Phone (661) 565-6279

930 F St
Wasco, CA 93280-2040
Phone (661) 758-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
758333CAMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
95014757CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enara Family Counseling P C Psychiatric/Mental Health CurrentSince Nov 30, 2024 Accepting new patients
County of Kern CurrentSince May 10, 2022 Accepting new patients
County of Kern CurrentSince May 10, 2022 Accepting new patients
Orange Oak Psychiatry Psychiatric/Mental Health Current Accepting new patients
County of Kern Current Accepting new patients
Psychiatric Medical Practitioners, Inc. Past Accepting new patients

Locations

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

175 W Lexington Ave
Ste A
El Cajon, CA 92020
Phone (619) 573-1779

Interoperability endpoints

  • Direct secure messaging: oxana.kogout.p1@direct.dogonmentalhealth.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1477910214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19431 CASTLEWOOD CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N BELLFLOWER BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908400004",
            "telephone_number": "602-904-0549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Eye St # 100",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933015208",
            "country_code": "US",
            "telephone_number": "661-310-3688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOGOUT",
        "first_name": "OXANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CA",
            "license": "758333",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95014757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.