Pacific Oaks Medical Group & Subsidiary

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PACIFIC OAKS MEDICAL GROUP & SUBSIDIARY

Practice address

3140 Red Hill Ave Ste 120
Costa Mesa, CA 92626-3400

Phone

(949) 263-1242

NPI assigned

May 18, 2018

Organization subpart

No

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

Authorized official

Name

Robert Scott Loitman

Title

Controller

Phone

(310) 652-2562

Specialties & licenses 1

Addresses

Practitioners 2

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

• Jeffrey Howard Bloom, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Newport Beach, CA
  • NPI 1669472148
  NPD (past)
• Ramprasad C Dandillaya, MD

  • Cardiovascular Disease Physician
  • Beverly Hills, CA
  • NPI 1316900236
  NPD (past)

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1639669229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112145",
            "telephone_number": "310-652-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 RED HILL AVE STE 120",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263400",
            "telephone_number": "949-263-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC OAKS MEDICAL GROUP & SUBSIDIARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "LOITMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "310-652-2562"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Coast Mental Health LLC
• Pacific Coast Optometry, Inc.
• Pacific Medical Center
• Pacific Neuropsychiatric Specialists
• Pacific Neuropsychiatric Specialists Inc.
• Pacific Surgery Center
• Pacific Surgical Associates, a Medical Corporation
• Pacifica Newport Mesa LLC
• Pacifica Orange County LLC
• Jennifer Pacini, LMFT

• Podiatrist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.