Active NPI
Oxana Kogout
- Psychiatric/Mental Health Nurse Practitioner
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95014757
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 758333 | CA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| 95014757 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enara Family Counseling P C | Psychiatric/Mental Health | Current | Accepting new patients |
| County of Kern | Current | Accepting new patients | |
| County of Kern | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bakersfield, CA
- NPI 1568658821
-
- Psychiatric/Mental Health Nurse Practitioner
- Irvine, CA
- NPI 1619607116
-
- Adult Mental Health Clinic/Center
- Bakersfield, CA
- NPI 1467653253
-
- Adult Mental Health Clinic/Center
- Bakersfield, CA
- NPI 1851502124
-
- Psychiatry Physician
- Bakersfield, CA
- NPI 1740551563
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.