Ohana Physicians Cooperative Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OHANA PHYSICIANS COOPERATIVE INC

Practice address

668 N Coast Hwy
Laguna Beach, CA 92651

Phone

(949) 234-7262

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Melissa Siew, MDNPI 1780096099

Title

Secretary

Phone

(213) 605-1313

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Melissa Siew, M.D.

  • Internal Medicine Physician
  • Westminster, CA
  • NPI 1780096099
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1629536404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N COAST HWY",
            "address_2": "PO BOX 394",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "949-234-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 N COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "949-234-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA PHYSICIANS COOPERATIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "SIEW",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "213-605-1313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julian Michael Olvera
• Dale W Oneal, PH.D
• Optometry of Laguna Beach
• Orange Coast Head and Neck Surgery
• Yesenia Ortega

• Internal Medicine Physician in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.