Individual provider Active NPI

Jaehoon Oh, M.D.

  • Psychiatry Physician
  • La, CA
National Provider Identifier
1487606356
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G73752 Issued in CA
Practice address
520 So. Lafayette PK. PL. 3Rd Floor
La, CA 90057
Phone
(213) 252-2100
Fax
(213) 383-3146
NPI assigned
May 17, 2006
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G73752 CA Primary

Addresses

Primary practice location

520 So. Lafayette PK. PL. 3Rd Floor
La, CA 90057

Mailing address

520 So. Lafayette PK. PL. 3Rd Floor
La, CA 90057
Phone (213) 252-2100

Other practice location 1

15350 Sherman Way Ste 200
Van Nuys, CA 91406-4458
Phone (818) 267-1100

Other practice location 2

11050 Artesia Blvd Ste F
Cerritos, CA 90703-2542
Phone (562) 860-8838

Other practice location 3

600 St Paul Ave Ste 101
Los Angeles, CA 90017-5660
Phone (213) 483-3000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120214000513 CA Practitioner - Psychiatry 4587822978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kentucky College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Special Service for Groups IncGroup PAC ID 2769396886, 61 clinicians

Practice addresses (Care Compare)

1107 S Glendora Ave
West Covina, CA 91790-4923
Phone (626) 653-9913

1310 Wilshire Blvd
Los Angeles, CA 90017-1705
Phone (213) 483-3000

15350 Sherman Way
Suite 200
Van Nuys, CA 91406-4458
Phone (818) 367-1100

515 Columbia Ave
Los Angeles, CA 90017-1209

520 S Lafayette Park PL
FL 3
Los Angeles, CA 90057-5400
Phone (213) 252-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73752CAMDPharmacist
G73752CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. CurrentSince Jul 12, 1999 Accepting new patients
Special Service for Groups, Inc. Current Accepting new patients
Special Service for Groups, Inc. CurrentSince Jul 12, 1999 Accepting new patients
Special Service for Groups, Inc. Past Accepting new patients
Special Service for Groups, Inc. Past Accepting new patients

Locations

11050 Artesia Blvd
Ste F
Cerritos, CA 90703
Phone (562) 860-8838

600 St Paul Ave
Ste 101
Los Angeles, CA 90017
Phone (213) 483-3000

905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800

15350 Sherman Way
Ste 200
Van Nuys, CA 91406
Phone (818) 267-1100

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1487606356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SO. LAFAYETTE PK. PL. 3RD FLOOR",
            "city": "LA",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "213-252-2100",
            "fax_number": "213-383-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SO. LAFAYETTE PK. PL. 3RD FLOOR",
            "city": "LA",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "213-252-2100",
            "fax_number": "213-383-3146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15350 Sherman Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914064458",
            "country_code": "US",
            "telephone_number": "818-267-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11050 Artesia Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907032542",
            "country_code": "US",
            "telephone_number": "562-860-8838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 St Paul Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900175660",
            "country_code": "US",
            "telephone_number": "213-483-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OH",
        "first_name": "JAEHOON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G73752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La, CA

Sources for this page

Verify at the official NPI Registry.