Active NPI
Oasis Family Medicine Inc
- Primary Care Clinic/Center
- Glendale, CA
National Provider Identifier
1740568005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- OASIS FAMILY MEDICINE INC
- Practice address
- 3527 Ocean View Blvd
Glendale, CA 91208-1211 - Phone
- (818) 646-6909
- NPI assigned
- Aug 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yoshi Rahm, D.O.
- Title
- President
- Phone
- (818) 646-6909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
3527 Ocean View Blvd
Glendale, CA 91208-1211
Mailing address
2029 Verdugo Blvd
PMB 769
Montrose, CA 91020-1626
Phone (818) 646-6909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110810000420 | CA | Part B Supplier - Clinic/Group Practice | 6002085990 | Practice locations: Glendale, CA |
National Provider Directory
National Provider DirectoryLocations
3541 Ocean View Blvd
Glendale, CA 91208
Phone (206) 359-0094
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Montrose, CA
- NPI 1740376656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312329600000",
"number": "1740568005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2029 VERDUGO BLVD",
"address_2": "PMB 769",
"city": "MONTROSE",
"state": "CA",
"postal_code": "910201626",
"telephone_number": "818-646-6909",
"fax_number": "888-584-9315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3527 OCEAN VIEW BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081211",
"telephone_number": "818-646-6909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OASIS FAMILY MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-03",
"last_updated": "2011-08-03",
"status": "A",
"authorized_official_last_name": "RAHM",
"authorized_official_first_name": "YOSHI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-646-6909",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.