NPIMap

Organization Active NPI

Philomena O Oboh DDS a Professional Corporation

  • General Practice Dentistry
  • Van Nuys, CA
National Provider Identifier
1619376993
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41121 Issued in CA
Legal business name
PHILOMENA O OBOH DDS A PROFESSIONAL CORPORATION
Practice address
7136 Haskell Ave Ste 217
Van Nuys, CA 91406-4112
Phone
(818) 781-5180
Fax
(818) 787-0655
NPI assigned
Aug 22, 2014
Organization subpart
Yes
Parent organization
PHILOMENA O OBOH DDS A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Dr. Philomena O Oboh, DDSNPI 1649335241
Title
Owner
Phone
(818) 781-5180

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 41121 CA Primary

Addresses

Primary practice location

7136 Haskell Ave Ste 217
Van Nuys, CA 91406-4112

Mailing address

14434 Hamlin Street
Suite 2
Van Nuys, CA 91401-1461
Phone (818) 781-5180

Other identifiers 1

IdentifierTypeStateIssuer
CB204573OtherCAPTAN

Other names 1

  • global dental office Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190517000560 CA Part B Supplier - Clinic/Group Practice 6002159852 Receives reassigned benefits from 1 practitioner
Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory
Part of
Philomena O Oboh DDS a Professional Corporation

Locations

7136 Haskell Ave
Ste 217
Van Nuys, CA 91406
Phone (818) 781-5180

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1619376993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14434 HAMLIN STREET",
            "address_2": "SUITE 2",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011461",
            "telephone_number": "818-781-5180",
            "fax_number": "818-781-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 HASKELL AVE STE 217",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064112",
            "telephone_number": "818-781-5180",
            "fax_number": "818-787-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILOMENA O OBOH DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHILOMENA O OBOH DDS A PROFESSIONAL CORPORATION",
        "enumeration_date": "2014-08-22",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "OBOH",
        "authorized_official_first_name": "PHILOMENA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-781-5180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CB204573",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "global dental office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.