Oasis MD, Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

G85358 Issued in CA

Legal business name

OASIS MD, INC.

Practice address

8901 Activity Rd
San Diego, CA 92126-4427

Phone

(858) 571-0606

NPI assigned

Nov 13, 2013

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Oasis MD Doing business as

Part of

Tri - State Medical Group Inc

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1750711610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 ACTIVITY RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264427",
            "telephone_number": "858-571-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS MD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2013-11-13",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G85358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luke Oakley, M.D.
• Madeline Oakley
• Robert R. Oakley, MD
• Taylor Oakley
• Steve Oas, SLP
• Oasis Medical Transportation LLC
• Oasis Springs Corp
• Oasis Surgery Center - Navy Resource Sharing
• Dennis G Oates, DDS
• Dwight Allen Oates, DDS

• Non-Pharmacy Dispensing Site in San Diego, CA
• Providers in San Diego, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.