Mary Lou Ozohan, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

A23566 Issued in CA

Practice address

5522 Sepulveda Blvd
Sherman Oaks, CA 91411-3437

Phone

(818) 997-1522

Fax

(818) 997-0705

NPI assigned

Nov 25, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cabrillo Surgery Center

  • Ambulatory Surgical Clinic/Center
  • San Diego, CA
  • NPI 1154554160
  NPD (past)
• Santa Clarita Radiotherapy Medical Group

  • Radiation Oncology Physician
  • Santa Clarita, CA
  • NPI 1497782692
  NPD (past)
• Valley Radiotherapy Associates Medical Group Inc

  • Radiation Oncology Physician
  • Fullerton, CA
  • NPI 1255594925
  NPD (past)

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1609859412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513969",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900513969",
            "telephone_number": "310-335-4065",
            "fax_number": "310-335-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 SEPULVEDA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113437",
            "telephone_number": "818-997-1522",
            "fax_number": "818-997-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZOHAN",
        "first_name": "MARY",
        "middle_name": "LOU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A23566",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A23566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A235660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tavia Owens
• Lisa Beth Oxman
• Oxygen Services Southwest LLC
• Olayinka Oyatayo
• Adaobi Ozoh, N.P
• Stephanie J Paape, MS, PA-C
• Pacific Blue Psychological Services
• Pacific Hospice Services Inc
• Esteban Padilla
• Lilia Padilla

• Radiation Oncology Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.