Active NPI
Michael Oom, MD
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1801259171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A156645
- Practice address
- 2010 Zonal Ave
Opd 5 East
Los Angeles, CA 90033 - Phone
- (323) 409-3680
- NPI assigned
- Apr 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A156645 | CA | Primary |
Addresses
Primary practice location
2010 Zonal Ave
Opd 5 East
Los Angeles, CA 90033
Mailing address
100 S Alameda St Unit 376
Los Angeles, CA 90012-3946
Phone (616) 890-8970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A156645 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1801259171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S ALAMEDA ST UNIT 376",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900123946",
"telephone_number": "616-890-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 ZONAL AVE",
"address_2": "OPD 5 EAST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "323-409-3680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OOM",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-03",
"last_updated": "2022-08-05",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A156645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.