Organization Active NPI

Oasis Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Indio, CA
National Provider Identifier
1780861500
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
OASIS REHABILITATION CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09-00009098OtherCACITY OF INDIO BIZ LICENSE

Other names 1

  • Oasis Community Service Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

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.

Verify at the official NPI Registry.