Philomena O Oboh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41121 Issued in CA

Practice address

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

Phone

(818) 781-5180

Fax

(818) 781-5180

NPI assigned

Dec 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Philomena O Oboh DDS a Professional Corporation

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1619376993
  Medicare reassignment Authorized official
• Erx Medical Clinic Inc

  • Neurological Surgery Physician
  • Van Nuys, CA
  • NPI 1528649555
  NPD
• Richard J. Kratochvil D.D.S., Inc.

  • Dentist
  • Van Nuys, CA
  • NPI 1831279736
  NPD (past)

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1649335241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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": "818-781-5180"
        },
        {
            "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": "818-781-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBOH",
        "first_name": "PHILOMENA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-25",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "41121",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oasis Transport Inc.
• Loren Diana Oaxaca
• OB-GYN Medical Group
• Obama Home Health Care Services
• Kosi Uzochika Obialor
• Milena Ocampo
• Occupational Health Centers of California, a Medical Corporation
• Oceanside Home Health Inc
• Cristina Oceguera
• Manuel Salvador Oceguera

• General Practice Dentistry in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• General Practice Dentistry in California

• 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.