Active NPI
Jaehoon Oh, M.D.
- Psychiatry Physician
- La, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G73752
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73752 | CA | MD | Pharmacist |
| G73752 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Current | 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.
-
- Voluntary or Charitable Agency
- Los Angeles, CA
- NPI 1952442949
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1639291073
-
- Adolescent and Children Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1982735932
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1669503793
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Van Nuys, CA
- NPI 1710018841
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
- Yalda Movahed, PHARMD.
- Ann-Marie Murphy, LMFT
- Sowmya G Murthy, CARE COORDINATOR
- Natalia Pokras, DPT, a Professional Corporation (LA Intensive Pediatric Therapy)
- Ramin Noorvash
- Patricia Oh, PARENT PARTNER
- Nelson M Okeke, REGISTERED NURSE
- Jennifer Florendo Ongcapin, DDS
- Optikos (Optikos Optometry)
- Allan A Orenstein, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.