Individual provider Active NPI

Sarah O'Loughlin, M.D

  • Pediatrics Physician
  • Costa Mesa, CA
National Provider Identifier
1780865444
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A92397 Issued in CA
Practice address
1190 Baker St
100
Costa Mesa, CA 92626-4108
Phone
(714) 668-2540
Fax
(714) 668-2510
NPI assigned
Nov 21, 2007
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A92397 CA Primary

Addresses

Primary practice location

1190 Baker St
100
Costa Mesa, CA 92626-4108

Mailing address

PO Box 15277
Newport Beach, CA 92659-5277
Phone (714) 668-2540

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address soloughlin1373807@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211001771 CA Practitioner - Pediatric Medicine 5294093738 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A92397CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Nov 7, 2017 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Nov 7, 2017 Accepting new patients
Providence Medical Foundation Past Accepting new patients
St. Joseph Hospital Past Accepting new patients
Urgikids Pediatrics Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

2501 E Chapman Ave
#104
Orange, CA 92869

2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300

2501 E Chapman Ave
Ste 104
Orange, CA 92869

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1780865444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15277",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926595277",
            "telephone_number": "714-668-2540",
            "fax_number": "714-668-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 BAKER ST",
            "address_2": "100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264108",
            "telephone_number": "714-668-2540",
            "fax_number": "714-668-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LOUGHLIN",
        "first_name": "SARAH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A92397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "soloughlin1373807@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2501 E Chapman Ave # 104",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928693204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.