Oak Tree Medical Corporation

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

OAK TREE MEDICAL CORPORATION

Practice address

751 Cordova Street
Suite #1
Pasadena, CA 91101-2617

Phone

(626) 577-2424

Fax

(626) 577-2995

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Edmund Wycoff, BA

Title

Administrative Director

Phone

(626) 577-3415

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1700980828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 CORDOVA STREET",
            "address_2": "SUITE #1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012617",
            "telephone_number": "626-577-2424",
            "fax_number": "626-577-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 CORDOVA STREET",
            "address_2": "SUITE #1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012617",
            "telephone_number": "626-577-2424",
            "fax_number": "626-577-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "WYCOFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "626-577-3415",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin A. O'Toole, M.D.
• Oak Grove Speech Therapy Associates
• Oak Leaf Psychiatry Inc
• Oak Song Acupuncture and Wellness, Inc
• Oak Tree ASC, LLC
• Oakpark Surgery Center
• Oasis Health Medical Group Inc
• Oasis Natural Care Inc
• Courtney Bre'Ann Oaties
• Juliana Obeid

• Diagnostic Radiology Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.