NPIMap

Organization Active NPI

Oak Hills Medical Corporation

Doing business as Diabetic Foot and Wound Care Center

  • Podiatrist
  • Delano, CA
National Provider Identifier
1932641644
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
OAK HILLS MEDICAL CORPORATION
Doing business as
Diabetic Foot and Wound Care Center
Heart Vascular & Leg Center
Practice address
714 Main St
Delano, CA 93215-2953
Phone
(661) 324-4100
Fax
(661) 324-4600
NPI assigned
Nov 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Prof. Madeline Angela Meyer, PHD
Title
Director
Phone
(321) 274-8344

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

714 Main St
Delano, CA 93215-2953

Mailing address

PO Box 748792 Ste 106
Los Angeles, CA 90074-8792
Phone (661) 324-4100

Other names 2

  • Diabetic Foot and Wound Care Center Doing business as
  • Heart Vascular & Leg Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000964 CA Part B Supplier - Clinic/Group Practice 6800783283 Receives reassigned benefits from 25 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bakersfield, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5020 Commerce Dr
Bakersfield, CA 93309

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1932641644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748792 STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900748792",
            "telephone_number": "661-324-4100",
            "fax_number": "661-324-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MAIN ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152953",
            "telephone_number": "661-324-4100",
            "fax_number": "661-324-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HILLS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-274-8344",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic Foot and Wound Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart Vascular & Leg Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.