P3 Health Partners-Oregon LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

P3 HEALTH PARTNERS-OREGON LLC

Practice address

2525 12TH St SE Ste 240250
Salem, OR 97302-2281

Phone

(971) 701-9058

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Amir Bacchus, MDNPI 1619925476

Title

Cmo

Phone

(702) 910-3950

Specialties & licenses 5

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amir Bacchus, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1619925476
  NPD (past) Authorized official
• Eunice Asah, FNP-BC

  • Family Nurse Practitioner
  • Arlington, TX
  • NPI 1720407984
  NPD
• Natasha Bienaime, NP

  • Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1982121646
  NPD

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1831708916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950",
            "fax_number": "702-778-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 12TH ST SE STE 240250",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022281",
            "telephone_number": "971-701-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P3 HEALTH PARTNERS-OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "BACCHUS",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "702-910-3950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer P. Owens, DDS
• Sharma Owens, CSWA
• Trisha Kie Owens, RN
• Marina Ozerova
• Laura Ozuna, OD
• P3 Medical Group PC
• Alexis Jizelle Pacheco
• Alyssa Pacheco
• Pacific Allcare LLC
• Pacific Cardiovascular Center, LLC

• Family Medicine Physician in Salem, OR
• Providers in Salem, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.