Optum Palos Verdes

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OPTUM PALOS VERDES

Practice address

25210 Crenshaw Blvd Ste 100
Torrance, CA 90505-6134

Phone

(310) 602-2700

Fax

(310) 602-2789

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

Brian Borsook, M.D.

Title

Physician/Director

Phone

(310) 326-8600

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Sabina Sibi, MSN, NP-C, CMSRN, RN

  • Adult Health Nurse Practitioner
  • Willoughby, OH
  • NPI 1649711870
  NPD
• Christianne C Kisner, NP

  • Nurse Practitioner
  • Torrance, CA
  • NPI 1104247683
  NPD (past)

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1740435502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25210 CRENSHAW BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056134",
            "telephone_number": "310-602-2700",
            "fax_number": "310-602-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25210 CRENSHAW BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056134",
            "telephone_number": "310-602-2700",
            "fax_number": "310-602-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM PALOS VERDES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "BORSOOK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN/DIRECTOR",
        "authorized_official_telephone_number": "310-326-8600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chioma Onyejekwe, DNP
• Nduka Kingsley Onyenuforo
• Catalina Ooley
• Melissa Ann Opah
• Karen Lee Oppenheimer, M.D.
• Optumcare Management, LLC
• Roxanne Loraine Orantes
• Wendy Orantes, M.S.W.
• Brittany Ordaz
• Anika Ordonez

• Family Medicine Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.