Organization Active NPI

Oasis Family Medicine Inc

  • Primary Care Clinic/Center
  • Glendale, CA
National Provider Identifier
1740568005
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Aug 3, 2011

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20110810000420 CA Part B Supplier - Clinic/Group Practice 6002085990 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.