Blue Ocean Mental Health

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BLUE OCEAN MENTAL HEALTH

Practice address

4143 Via Marina Apt 912
Marina del Rey, CA 90292-5308

Phone

(323) 553-1114

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Esder Shin, NPNPI 1114483278

Title

Nurse Practitioner

Phone

(917) 714-9696

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blue Ocean Mental Health, A Professional Nursing Corporation Former legal business name

Electronic endpoints 1

Practitioners 2

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

• Esder Shin, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodland Hills, CA
  • NPI 1114483278
  NPD (past) Authorized official
• Ann Meredith McCoy, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
  • NPI 1558197152
  NPD (past)

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1649989104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 VIA MARINA APT 912",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 VIA MARINA APT 912",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925308",
            "telephone_number": "323-553-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE OCEAN MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "ESDER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "917-714-9696",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@blueoceanmh.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4143 Via Marina Apt 912",
            "city": "Marina Del Rey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902925308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Blue Ocean Mental Health, A Professional Nursing Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Thomas Edward Blair, M.D.
• Lisa Blake, RHN
• Bliss Optometry a Professional Corporation
• Steven Mark Block, D.P.M.
• Blossom Ostomy Inc
• Gideon Blumstein, MD, MS
• Jordan Lynn Bobbitt, LCSW
• Brian Antony Boben, MD
• Shannon Bonness, M.D.
• Elin C Borjas Sr.

• Psychiatry Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.