Omnibus Medical Corp

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OMNIBUS MEDICAL CORP

Practice address

1810 E Sahara Ave Ste 133
Las Vegas, NV 89104-3707

Phone

(323) 590-9128

NPI assigned

Aug 4, 2022

Organization subpart

Yes

Parent organization

OMNIBUS MEDICAL CORPAs reported in NPPES

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

Authorized official

Name

Mr. Cody Hall

Title

Manager

Phone

(704) 617-8535

Specialties & licenses 2

Addresses

Tax ID family

Omnibus Medical Corp2 organizations share this tax ID, including this one

Part of

Omnibus Medical Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Omnibus Medical Corp

  • Specialist
  • Garden Grove, CA
  • NPI 1922697861
  NPD tax ID

Locations

Practitioners 1

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

• Joseph Jordan, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1841776432
  NPD

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1891422341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 E SAHARA AVE STE 133",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043707",
            "telephone_number": "323-590-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E SAHARA AVE STE 133",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043707",
            "telephone_number": "323-590-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIBUS MEDICAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNIBUS MEDICAL CORP",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-617-8535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omni Care Hospice
• Omni Wellcare Incorporated
• Omnia Medical Supply, LLC
• Omnia Pharmacy Inc
• Omnia Wound Care, LLC
• Omnicare Health Services LLC
• Omnicare of Nevada, LLC
• Oluwatobi Oladipupo Omosebi
• Karen Delcina Omosola, PHD
• Precious Omotoyinbo

• Specialist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.