Active NPI
Ascada Health PC
- Family Medicine Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ASCADA HEALTH PC
- Practice address
- 301 W Bastanchury Rd Ste 220
Fullerton, CA 92835-3424 - Phone
- (657) 230-7337
- Fax
- (657) 272-7720
- NPI assigned
- Jun 10, 2021
- Last updated
- Mar 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Oei
- Title
- Owner
- Phone
- (657) 295-1333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | ||
| Primary Care Clinic/Center | 261QP2300X | NU | ||
| Urgent Care Clinic/Center | 261QU0200X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
301 W Bastanchury Rd Ste 220
Fullerton, CA 92835-3424
Mailing address
301 W Bastanchury Rd Ste 220
Fullerton, CA 92835-3424
Phone (657) 230-7337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210802000296 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 6406258037 | Practice locations: Fullerton, CA; Huntington Beach, CA |
National Provider Directory
National Provider DirectoryLocations
1440 N Harbor Blvd
Ste 110
Fullerton, CA 92835
Phone (657) 212-3212
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Downey, CA
- NPI 1063816809
-
- Family Medicine Physician
- Huntington Beach, CA
- NPI 1740685387
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647388800000",
"number": "1811564479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W BASTANCHURY RD STE 220",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353424",
"telephone_number": "657-230-7337",
"fax_number": "657-272-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W BASTANCHURY RD STE 220",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353424",
"telephone_number": "657-230-7337",
"fax_number": "657-272-7720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCADA HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-10",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A",
"authorized_official_last_name": "OEI",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "657-295-1333"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.