Individual provider Active NPI

Bryan C Oh, M.D.

  • Neurological Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1639355472
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A80845 Issued in CA
Practice address
4631 Teller Ave Ste 100
Newport Beach, CA 92660-8105
Phone
(949) 335-7500
Fax
(949) 387-1206
NPI assigned
Jan 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A80845 CA Primary

Addresses

Primary practice location

4631 Teller Ave Ste 100
Newport Beach, CA 92660-8105

Mailing address

4631 Teller Ave Ste 100
Newport Beach, CA 92660-8105
Phone (949) 335-7500

Other identifiers 1

IdentifierTypeStateIssuer
5592138MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080208000550 CA Practitioner - Neurosurgery 8224111505 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Stanford University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians
Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, 110 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

325 S Willis St
Visalia, CA 93291-6105
Phone (559) 624-4080

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000

840 S Akers St
Visalia, CA 93277-8309
Phone (559) 624-3741

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A80845CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Neurological Surgery CurrentSince Mar 21, 2024 Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
First Choice Physician Partners Current Accepting new patients
Kaweah Delta Health Care District CurrentSince Nov 1, 2017 Accepting new patients
First Choice Physician Partners Neurological Surgery Current Accepting new patients
Kern County Hospital Authority CurrentSince Jan 24, 2018 Accepting new patients
First Choice Physician Partners CurrentSince May 11, 2019 Accepting new patients
Center Neurorestoration Associates Inc., a Professional Corporation Neurological Surgery CurrentSince Dec 1, 2022 Accepting new patients
First Choice Physician Partners CurrentSince May 11, 2019 Accepting new patients
Kaweah Delta Health Care District Neurological Surgery CurrentSince Nov 1, 2017 Accepting new patients
Kern County Hospital Authority CurrentSince Jan 24, 2018 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
University of California Irvine Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
McLaren Flint Past Accepting new patients
Memorial Health System of East Texas Past Accepting new patients
University of California Irvine Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
MHS Physicians of Texas Neurological Surgery Past Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients

Locations

3551 Q St
Ste 100
Bakersfield, CA 93301
Phone (661) 327-3747

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

11180 Warner Ave
Ste 167
Fountain Vly, CA 92708
Phone (714) 241-8552

3650 South St
Ste 404
Lakewood, CA 90712
Phone (562) 232-3910

839 Sequoia Ave
Lindsay, CA 93247
Phone (559) 302-7413

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1325 N Rose Dr
Ste 100
Placentia, CA 92870
Phone (714) 729-0103

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

805 W Acequia Ave
Ste 2C
Visalia, CA 93291
Phone (559) 202-0282

202 W Willow Ave
Ste 202
Visalia, CA 93291
Phone (559) 334-0181

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1639355472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 TELLER AVE STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608105",
            "telephone_number": "949-335-7500",
            "fax_number": "949-387-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 TELLER AVE STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608105",
            "telephone_number": "949-335-7500",
            "fax_number": "949-387-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "BRYAN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A80845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5592138",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.