Individual provider Active NPI

Sara Oak, DDS

  • Dentist
  • San Diego, CA
National Provider Identifier
1801994892
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54380 Issued in CA
Practice address
1850 Coronado Ave Ste 404
San Diego, CA 92154-2046
Phone
(619) 423-1991
Fax
(619) 423-1918
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54380 CA Primary

Addresses

Primary practice location

1850 Coronado Ave Ste 404
San Diego, CA 92154-2046

Mailing address

1850 Coronado Ave Ste 404
San Diego, CA 92154-2046
Phone (619) 423-1991

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916001887 CA Order and Referring Only - DentistPractitioner - Dentist 7416264940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: soak18349@syhealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1801994892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 CORONADO AVE STE 404",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921542046",
            "telephone_number": "619-423-1991",
            "fax_number": "619-423-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CORONADO AVE STE 404",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921542046",
            "telephone_number": "619-423-1991",
            "fax_number": "619-423-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAK",
        "first_name": "SARA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.