Organization Active NPI

Oscyllate Medicine

  • Orthopaedic Surgery Physician
  • Pomona, CA
National Provider Identifier
1659073575
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
OSCYLLATE MEDICINE
Practice address
2771 N Garey Ave Unit 175
Pomona, CA 91767-1880
Phone
(703) 899-1929
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Kofi Agyeman, MDNPI 1760882781
Title
Founder/Ceo/Owner
Phone
(703) 899-1929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2771 N Garey Ave Unit 175
Pomona, CA 91767-1880

Mailing address

2771 N Garey Ave Unit 175
Pomona, CA 91767-1880
Phone (703) 899-1929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240911004162 CA Part B Supplier - Clinic/Group Practice 6800336256 Receives reassigned benefits from 1 practitioner
Practice locations: Glendora, CA

National Provider Directory

National Provider Directory

Locations

12021 Wilmington Ave
Ste 1D
Los Angeles, CA 90059
Phone (626) 790-5584

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/499392/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1659073575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 N GAREY AVE UNIT 175",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671880",
            "telephone_number": "703-899-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 N GAREY AVE UNIT 175",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671880",
            "telephone_number": "703-899-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCYLLATE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "AGYEMAN",
        "authorized_official_first_name": "KOFI",
        "authorized_official_title_or_position": "FOUNDER/CEO/OWNER",
        "authorized_official_telephone_number": "703-899-1929",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.