Organization Active NPI

Oakhurst Medical Group Inc

  • Family Medicine Physician
  • Oakhurst, CA
National Provider Identifier
1780644567
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OAKHURST MEDICAL GROUP INC
Practice address
40232 Junction Drive
Oakhurst, CA 93644
Phone
(559) 658-6420
Fax
(559) 658-6460
NPI assigned
Mar 24, 2006
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Mrs. Rebecca Anne Morris
Title
Administrator
Phone
(559) 658-6420

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

40232 Junction Drive
Oakhurst, CA 93644

Mailing address

40232 Junction Drive
Oakhurst, CA 93644
Phone (559) 658-6420

Other identifiers 1

IdentifierTypeStateIssuer
GF0067330MedicaidCA

National Provider Directory

National Provider Directory

Locations

40232 Junction Dr
Oakhurst, CA 93644
Phone (559) 449-5010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1780644567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40232 JUNCTION DRIVE",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "93644",
            "telephone_number": "559-658-6420",
            "fax_number": "559-658-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40232 JUNCTION DRIVE",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "93644",
            "telephone_number": "559-658-6420",
            "fax_number": "559-658-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKHURST MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-658-6420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GF0067330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.