NPIMap

Organization Active NPI

Gene Kyo Oh MD Inc

  • Anesthesiology Physician
  • Garden Grove, CA
National Provider Identifier
1700837937
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A26489 Issued in CA
Legal business name
GENE KYO OH MD INC
Practice address
12900A Garden Grove Blvd
#122
Garden Grove, CA 92843
Phone
(714) 636-0342
Fax
(714) 636-0391
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Gene Kyo Oh, MDNPI 1235328683
Title
President
Phone
(714) 998-8133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X A26489 CA Primary

Addresses

Primary practice location

12900A Garden Grove Blvd
#122
Garden Grove, CA 92843

Mailing address

PO Box 775
Garden Grove, CA 92842
Phone (714) 636-0342

Other identifiers 1

IdentifierTypeStateIssuer
00A264891MedicaidCA

National Provider Directory

National Provider Directory

Locations

12900A Garden Grove Blvd
Ste 122
Garden Grove, CA 92843
Phone (714) 636-0342

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1700837937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92842",
            "telephone_number": "714-636-0342",
            "fax_number": "714-636-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900A GARDEN GROVE BLVD",
            "address_2": "#122",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-636-0342",
            "fax_number": "714-636-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE KYO OH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "KYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-998-8133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A26489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A264891",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.