Active NPI
Oakhurst Medical Group Inc
- Family Medicine Physician
- Oakhurst, CA
National Provider Identifier
1780644567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2010
- 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
- Mrs. Rebecca Anne Morris
- Title
- Administrator
- Phone
- (559) 658-6420
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GF0067330 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Physician
- Oakhurst, CA
- NPI 1558332668
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
- Colleen O'Neil-Tennant, MD
- Oakhurst Board and Care
- Oakhurst Emergency Medicine Group
- Oakhurst Healthcare Center, LLC
- Oakhurst Living Center, Inc.
- Oakhurst Nursing and Rehab Center LLC
- Oakhurst Physical Therapy Inc
- Oakhurst Skilled Care LLC
- Oakhurst Skilled Nursing & Wellness Centre, LLC (Oakhurst heathcare & Wellness Centre)
- Mark Nathan Oehlschlaeger, D.C.
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.