Joseph B Oldenburg, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G49343 Issued in CA

Practice address

3855 Broad Street
Ste B
San Luis Obispo, CA 93401

Phone

(805) 545-7881

Fax

(805) 548-8785

NPI assigned

Oct 11, 2005

Last updated

Mar 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

Emory University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Eye Surgeons a California Professional Medical CorporationGroup PAC ID 7810947397, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.53 of 100Reported as group

Quality

99.63

Improvement activities

40

Cost

82.25

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Pacific Eye Surgeons, a California Professional Medical Corporation

  • Ophthalmology Physician
  • San Luis Obispo, CA
  • NPI 1548262751
  Medicare reassignment Care Compare group NPD
• Pacific Eye Surgeons, a California Professional Medical Corporation

  • Eyewear Supplier
  • Lompoc, CA
  • NPI 1821952318
  NPD
• Dignity Community Care

  dba French Hospital Medical Center

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  NPD (past)
• Limberg Eye Surgery a Medical Corporation

  • Ophthalmology Physician
  • San Luis Obispo, CA
  • NPI 1952459265
  NPD (past)
• Pacific Eye Surgeons, a California Professional Medical Corporation

  • Ophthalmology Physician
  • Orcutt, CA
  • NPI 1962003582
  NPD (past)
• Providence Saint John's Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  NPD (past)
• San Luis Obispo Eye Associates, a Medical Group Inc.

  • Ophthalmology Physician
  • San Luis Obispo, CA
  • NPI 1144400201
  NPD (past)
• Twin Cities Community Hospital, Inc.

  dba Twin Cities Community Hospital

  • General Acute Care Hospital
  • Templeton, CA
  • NPI 1396778197
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1881682193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 BROAD STREET",
            "address_2": "STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-545-7881",
            "fax_number": "805-548-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 BROAD STREET",
            "address_2": "STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-545-7881",
            "fax_number": "805-548-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDENBURG",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G49343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "G49343",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn F Oelker, MD
• Stephanie Oh, OD
• Mary Okimoto, NP
• Michael Olado
• Jonathan Andrew Olcott, L.AC
• Amy Elizabeth Olin, M.D.
• Stephanie Marie Oliva, LMFT
• Diana Olivares
• Jean Olivares
• Deann Oliver

• Ophthalmology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.