Individual provider Active NPI

Jun-Ichi Ohara, M.D., PH.D.

  • Gastroenterology Physician
  • Irvine, CA
National Provider Identifier
1578665667
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
AO53621A Issued in CA
Practice address
22 Odyssey
Suite 170a
Irvine, CA 92618-3195
Phone
(949) 654-8963
NPI assigned
Sep 1, 2006
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AO53621A CA
Gastroenterology Physician 207RG0100X AO53621A CA Primary

Addresses

Primary practice location

22 Odyssey
Suite 170a
Irvine, CA 92618-3195

Mailing address

22 Odyssey
Suite 170a
Irvine, CA 92618-3195
Phone (949) 654-8963

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
I20050620000062 CA Practitioner - Internal Medicine 9335183573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohara and Associates a Professional Medical CorporationGroup PAC ID 2365486503, 2 clinicians

Practice addresses (Care Compare)

22 Odyssey
Suite 170a
Irvine, CA 92618-3186
Phone (949) 654-8963

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Upper gastrointestinal (GI) endoscopy for acid reflux31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AO53621ACAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey ASC Endoscopy Center LLC CurrentSince Oct 20, 2010 Accepting new patients
Ohara and Associates a Professional Medical Corporation Internal Medicine CurrentSince Jan 1, 2004 Accepting new patients
Hoag Memorial Hospital Presbyterian PastSince Jan 1, 2004 Accepting new patients

Locations

22 Odyssey
Ste 170A
Irvine, CA 92618
Phone (949) 654-8963

22 Odyssey
Ste 175
Irvine, CA 92618
Phone (949) 654-8963

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1578665667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "SUITE 170A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183195",
            "telephone_number": "949-654-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "SUITE 170A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183195",
            "telephone_number": "949-654-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHARA",
        "first_name": "JUN-ICHI",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "AO53621A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "AO53621A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.