Organization Active NPI

Oasis Neurology and Pain Institute Inc

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Culver City, CA
National Provider Identifier
1619433372
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
OASIS NEUROLOGY AND PAIN INSTITUTE INC
Practice address
10811 Washington Blvd Ste 250
Culver City, CA 90232-3670
Phone
(310) 254-9015
Fax
(424) 326-3253
NPI assigned
Feb 18, 2019
Last updated
Feb 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Alex Sabo, MD
Title
Ceo
Phone
(954) 638-8615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X NU Primary

Addresses

Primary practice location

10811 Washington Blvd Ste 250
Culver City, CA 90232-3670

Mailing address

1424 Warnall Ave
Los Angeles, CA 90024-5333
Phone (954) 638-8615

Other identifiers 1

IdentifierTypeStateIssuer
021563900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1503 S Coast Dr
Ste 303
Costa Mesa, CA 92626
Phone (310) 254-9015

10811 Washington Blvd
Ste 250
Culver City, CA 90232
Phone (310) 254-9015

Practitioners & affiliated clinicians

Practitioners 2

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": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1619433372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 WARNALL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245333",
            "telephone_number": "954-638-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 WASHINGTON BLVD STE 250",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323670",
            "telephone_number": "310-254-9015",
            "fax_number": "424-326-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS NEUROLOGY AND PAIN INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "SABO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-638-8615",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021563900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.