Ocean Life Medical Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OCEAN LIFE MEDICAL GROUP INC

Practice address

18069 W Terra Verde Place
Santa Clarita, CA 91387-1830

Phone

(661) 360-7523

Fax

(661) 424-7900

NPI assigned

May 21, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Luis M Origel Jr., NPNPI 1447672696

Title

President/Ceo

Phone

(661) 289-1154

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Luis Origel Jr.

  • Family Nurse Practitioner
  • Mission Hills, CA
  • NPI 1447672696
  Medicare reassignment Care Compare group NPD Authorized official
• Vincent J Bennett, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1982650776
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1720645104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18069 W TERRA VERDE PLACE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913871830",
            "telephone_number": "661-360-7523",
            "fax_number": "661-424-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18069 W TERRA VERDE PLACE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913871830",
            "telephone_number": "661-360-7523",
            "fax_number": "661-424-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN LIFE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "ORIGEL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "661-289-1154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "oceanlifemedgrpinc@gmail.com",
            "affiliation": "N",
            "address_1": "18069 W TERRA VERDE PLACE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913871830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Julia Kay Oberndorf, MD
• Vania Patricia Ocampo
• Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
• Renato Ochoa Castillo
• Moncerrat Ochoa
• Kierra Oconnor
• Bernice Ofili
• Jasmine Oganesyan, LMFT

• General Practice Physician in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.