Organization Active NPI

Oasis Surgical Prof Corp

  • Surgery Physician
  • Turlock, CA
National Provider Identifier
1730135773
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
OASIS SURGICAL PROF CORP
Practice address
880 E Tuolumne Rd
Suite 201
Turlock, CA 95382-1548
Phone
(209) 632-2960
Fax
(209) 632-2062
NPI assigned
May 25, 2006
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Dr. Paul A Carmichael, MDNPI 1972564037
Title
Cfo
Phone
(209) 632-2960

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

880 E Tuolumne Rd
Suite 201
Turlock, CA 95382-1548

Mailing address

880 E Tuolumne Rd
201
Turlock, CA 95382-1548
Phone (209) 632-2960

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ64148ZOtherCABLUE SHIELD OF CALIFORNIA
ZZZ64148ZOtherCACHAMPUS/TRICARE
GR0100260MedicaidCA

National Provider Directory

National Provider Directory

Locations

1390 E Yosemite Ave
Ste B
Merced, CA 95340
Phone (209) 580-3400

2161 Colorado Ave
Ste A
Turlock, CA 95382
Phone (209) 632-2960

Practitioners & affiliated clinicians

Practitioners 5

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1730135773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E TUOLUMNE RD",
            "address_2": "201",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821548",
            "telephone_number": "209-632-2960",
            "fax_number": "209-632-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E TUOLUMNE RD",
            "address_2": "SUITE 201",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821548",
            "telephone_number": "209-632-2960",
            "fax_number": "209-632-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS SURGICAL PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "209-632-2960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ64148Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "ZZZ64148Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.