Organization Active NPI

Kevin Oei D.O. Medical Corp

  • Family Medicine Physician
  • Fullerton, CA
National Provider Identifier
1750032082
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KEVIN OEI D.O. MEDICAL CORP
Practice address
1440 N Harbor Blvd Ste 110
Fullerton, CA 92835-4114
Phone
(657) 212-3212
Fax
(657) 212-3255
NPI assigned
Jan 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Kevin Oei, DONPI 1063816809
Title
President
Phone
(657) 212-3212

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1440 N Harbor Blvd Ste 110
Fullerton, CA 92835-4114

Mailing address

1440 N Harbor Blvd Ste 110
Fullerton, CA 92835-4114
Phone (657) 212-3212

Other names 1

  • Upper Echelon Medical Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2230306Upper Echelon Medical1440 N Harbor Blvd Suite 110, Fullerton, CA 92835Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory

Locations

1440 N Harbor Blvd
Ste 110
Fullerton, CA 92835
Phone (657) 212-3212

Practitioners & affiliated clinicians

Practitioners 2

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": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1750032082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 110",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354114",
            "telephone_number": "657-212-3212",
            "fax_number": "657-212-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 110",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354114",
            "telephone_number": "657-212-3212",
            "fax_number": "657-212-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN OEI D.O. MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "OEI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "657-212-3212",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Echelon Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Upper Echelon Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.