Individual provider Active NPI

Robert Wayne Okerblom, M.D.

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1942358643
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G59397 Issued in CA
Practice address
1145 E Clark Ave Ste F
Santa Maria, CA 93455-5169
Phone
(805) 934-5140
Fax
(805) 934-3500
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G59397 CA Primary

Addresses

Primary practice location

1145 E Clark Ave Ste F
Santa Maria, CA 93455-5169

Mailing address

1145 E Clark Ave Ste F
Santa Maria, CA 93455-5169
Phone (805) 934-5140

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060112000474 CA Practitioner - Family Practice 2163464462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Okerblom Voegele and Hole MD a Professional CorporationGroup PAC ID 3577586031, 6 clinicians

Practice addresses (Care Compare)

915 E Stowell Rd
Suite C
Santa Maria, CA 93454-7010
Phone (805) 934-5140

Hospital & facility affiliations

  • Dignity Health Home Health Home health agency, Santa Maria, CA, CCN 557038
  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Superior Home Health Home health agency, Lompoc, CA, CCN 559004
  • Mission Home Health of Central Coast Home health agency, Grover Beach, CA, CCN 059589
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions131
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59397CAMDPharmacist
G59397CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Okerblom Voegele and Hole MD a Professional Corporation Family Medicine CurrentSince Mar 1, 2006 Accepting new patients
Dignity Health PastSince Mar 1, 2006 Accepting new patients

Locations

1145 E Clark Ave
Ste F
Santa Maria, CA 93455
Phone (805) 361-0756

915 E Stowell Rd
Ste C
Santa Maria, CA 93454
Phone (805) 934-5140

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1942358643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE STE F",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555169",
            "telephone_number": "805-934-5140",
            "fax_number": "805-934-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE STE F",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555169",
            "telephone_number": "805-934-5140",
            "fax_number": "805-934-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKERBLOM",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G59397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.