Active NPI
Daniel Oh, M.D.
- Surgery Physician
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A86585
- Practice address
- 316 S Stratford Ave
Suite C
Santa Maria, CA 93454-5908 - Phone
- (805) 348-3700
- Fax
- (805) 348-3730
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 36237 | AZ | |
| Surgery Physician | 208600000X | A86585 | CA | Primary |
Addresses
Primary practice location
316 S Stratford Ave
Suite C
Santa Maria, CA 93454-5908
Mailing address
PO Box 1206
Goleta, CA 93116-1206
Phone (805) 964-3838
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ27707Z | Other | CA | BLUE SHIELD |
| 00A865850 | Medicaid | CA | |
| YYY49687Y | Other | CA | BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | daniel.oh@adventistclinic.directbygreenway.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Loma Linda University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
388 Ypao Rd
Tamuning, GU 96913-3701
Phone (671) 646-8881
850 Gov Carlos Camacho Rd
Tamuning, GU 96913-3128
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 34 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 16 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86585 | CA | MD | Pharmacist |
| 36237 | AZ | MD | Surgery Physician |
| A86585 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Memorial Hospital | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| General Conference Corp of Sda | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Fallbrook-Rancho Surgery a Medical Corporation | Surgery | Past | Accepting new patients |
Locations
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
Interoperability endpoints
- daniel.oh@adventistclinic.directbygreenway.com
- daniel.oh.1@31775.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Guam Seventh-Day Adventist Clinic
- Clinic/Center
- Tamuning, GU
- NPI 1275586877
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
- Surgery Physician
- Fallbrook, CA
- NPI 1437174240
-
dba Chandler Regional Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
dba Mercy Gilbert Medical Center
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Guam Regional Medical City
- General Acute Care Hospital
- Dededo, GU
- NPI 1194159525
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1891790614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1206",
"city": "GOLETA",
"state": "CA",
"postal_code": "931161206",
"telephone_number": "805-964-3838",
"fax_number": "805-683-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 S STRATFORD AVE",
"address_2": "SUITE C",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545908",
"telephone_number": "805-348-3700",
"fax_number": "805-348-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "36237",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A86585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ27707Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A865850",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "YYY49687Y",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "daniel.oh@adventistclinic.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "388 Ypao Rd",
"city": "Tamuning",
"state": "GU",
"country_code": "US",
"postal_code": "969133701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.