Individual provider Active NPI

Carmen Oh

  • Registered Dietitian
  • Daly City, CA
National Provider Identifier
1588239529
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86290185 Issued in CA
Practice address
1498 Southgate Ave # 102
Daly City, CA 94015-4015
Phone
(650) 755-4490
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X CA
Registered Dietitian 133V00000X 86290185 CA Primary

Addresses

Primary practice location

1498 Southgate Ave # 102
Daly City, CA 94015-4015

Mailing address

1498 Southgate Ave # 102
Daly City, CA 94015-4015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.1 of 100Reported as group
Quality
77.33
Promoting interoperability
99
Improvement activities
40
Cost
77.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86290185CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
West Bay Nephrology Associates CurrentSince Aug 1, 2021 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

1860 El Camino Real
Ste 321
Burlingame, CA 94010
Phone (650) 552-8180

1498 Southgate Ave
#102
Daly City, CA 94015
Phone (650) 755-4490

2250 Hayes St
Ste 612
San Francisco, CA 94117
Phone (415) 268-3208

Interoperability endpoints

  • Direct secure messaging: carmen.oh.1@8243.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17475/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1588239529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SOUTHGATE AVE # 102",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SOUTHGATE AVE # 102",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154015",
            "telephone_number": "650-755-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86290185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.