Active NPI
Oasis Behavioral Health, Inc.
- Community/Behavioral Health Agency
- Indio, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- OASIS BEHAVIORAL HEALTH, INC.
- Practice address
- 81557 Doctor Carreon Blvd.
Suite C-8 and C-9
Indio, CA 92201-5562 - Phone
- (760) 391-6999
- NPI assigned
- Jan 23, 2008
- Last updated
- Mar 26, 2018
- Organization subpart
- Yes
- Parent organization
- OASIS REHABILITATION CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kent Dunlap
- Title
- President and Chief Executive Offic
- Phone
- (310) 221-6336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
81557 Doctor Carreon Blvd.
Suite C-8 and C-9
Indio, CA 92201-5562
Mailing address
81557 Doctor Carreon Blvd.
Suite C-8 and C-9
Indio, CA 92201-5562
Phone (760) 391-6999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09-00009098 | Other | CA | CITY OF INDIO BIZ LICENSE |
Other names 1
- Oasis Community Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201215001615 | CA | Part B Supplier - Clinic/Group Practice | 4082026117 |
2 other NPIs on this enrollment Practice locations: Banning, CA; Coachella, CA; Indio, CA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Behavioral Health Agency
- Banning, CA
- NPI 1093388480
O20201215001615
-
- Community/Behavioral Health Agency
- Coachella, CA
- NPI 1295225712
O20201215001615
National Provider Directory
National Provider Directory- Part of
- Oasis Behavioral Health Inc
Locations
81557 Doctor Carreon Blvd
Ste C8
Indio, CA 92201
Phone (760) 391-6999
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.
-
- Clinical Social Worker
- Indio, CA
- NPI 1457361230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522022400000",
"number": "1780861500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81557 DOCTOR CARREON BLVD.",
"address_2": "SUITE C-8 AND C-9",
"city": "INDIO",
"state": "CA",
"postal_code": "922015562",
"telephone_number": "760-391-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81557 DOCTOR CARREON BLVD.",
"address_2": "SUITE C-8 AND C-9",
"city": "INDIO",
"state": "CA",
"postal_code": "922015562",
"telephone_number": "760-391-6999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OASIS BEHAVIORAL HEALTH, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OASIS REHABILITATION CENTER, INC.",
"enumeration_date": "2008-01-23",
"last_updated": "2018-03-26",
"status": "A",
"authorized_official_last_name": "DUNLAP",
"authorized_official_first_name": "KENT",
"authorized_official_title_or_position": "PRESIDENT AND CHIEF EXECUTIVE OFFIC",
"authorized_official_telephone_number": "310-221-6336"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITY OF INDIO BIZ LICENSE",
"identifier": "09-00009098",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oasis Community Service",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.