Organization Active NPI

Jonathan Oheb MD Inc

  • Orthopaedic Surgery Physician
  • Encino, CA
National Provider Identifier
1528546108
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A128003 Issued in CA
Legal business name
JONATHAN OHEB MD INC
Practice address
5363 Balboa Blvd Ste 445
Encino, CA 91316-2844
Phone
(818) 946-8424
Fax
(818) 946-8429
NPI assigned
Aug 5, 2018
Last updated
Dec 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Jonathan Oheb, MDNPI 1003132127
Title
Owner
Phone
(818) 946-8424

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A128003 CA Primary

Addresses

Primary practice location

5363 Balboa Blvd Ste 445
Encino, CA 91316-2844

Mailing address

5363 Balboa Blvd Ste 445
Encino, CA 91316-2844
Phone (818) 946-8424

Other practice location 1

465 N Roxbury Dr Ste 1020
Beverly Hills, CA 90210-4213
Phone (818) 946-8424

Other practice location 2

11550 Indian Hills Rd Ste 310
Mission Hills, CA 91345-1203
Phone (818) 946-8424

Other identifiers 1

IdentifierTypeStateIssuer
A128003OtherCALICENCE

Other names 1

  • Jonathan Oheb MD Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181116002580 CA Part B Supplier - Clinic/Group Practice 6002160678 Receives reassigned benefits from 2 practitioners
Practice locations: Encino, CA; Beverly Hills, CA; Mission Hills, CA
O20190117000222 CA DME Supplier - Physician - General Surgery 6002160678 Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Locations

5363 Balboa Blvd
Ste 445
Encino, CA 91316
Phone (818) 946-8424

11550 Indian Hls
Ste 350
Mission Hills, CA 91345
Phone (818) 365-6632

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1528546108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD STE 445",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162844",
            "telephone_number": "818-946-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD STE 445",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162844",
            "telephone_number": "818-946-8424",
            "fax_number": "818-946-8429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 N Roxbury Dr Ste 1020",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104213",
            "country_code": "US",
            "telephone_number": "818-946-8424",
            "fax_number": "818-946-8429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11550 Indian Hills Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451203",
            "country_code": "US",
            "telephone_number": "818-946-8424",
            "fax_number": "818-946-8429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JONATHAN OHEB MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-05",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "OHEB",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-946-8424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A128003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "A128003",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan Oheb MD Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.