Individual provider Active NPI

Oscar M Andres, M.D.

  • General Practice Physician
  • Sacramento, CA
National Provider Identifier
1922016328
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C38545 Issued in CA
Practice address
7600 Hospital Dr
Suite G
Sacramento, CA 95823-5406
Phone
(916) 689-6200
Fax
(916) 689-6272
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C38545 CA Primary

Addresses

Primary practice location

7600 Hospital Dr
Suite G
Sacramento, CA 95823-5406

Mailing address

7600 Hospital Dr
Suite G
Sacramento, CA 95823-5406
Phone (916) 689-6200

Other identifiers 1

IdentifierTypeStateIssuer
00C385450MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C38545CAMDGeneral Practice Physician
38545CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1922016328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 HOSPITAL DR",
            "address_2": "SUITE G",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235406",
            "telephone_number": "916-689-6200",
            "fax_number": "916-689-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 HOSPITAL DR",
            "address_2": "SUITE G",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235406",
            "telephone_number": "916-689-6200",
            "fax_number": "916-689-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRES",
        "first_name": "OSCAR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C38545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C385450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.