DR. JAE SANG OH DMD
NPI 1235612599
Dentist in Camp Pendleton, CA
About Dr. Jae Sang Oh Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAE SANG OH DMD (NPI 1235612599) is an individual dentist in Camp Pendleton, California, licensed in California (107185) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jae Sang Oh Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jae Oh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92109
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jae Oh's NPI number?
The NPI number for Jae Oh is 1235612599. It was assigned to this individual provider in the NPPES registry on September 12, 2018.
Where is Jae Oh located?
Jae Oh practices at 200 Mercy Cir, Camp Pendleton, CA 92055. The listed phone number is (760) 725-1288.
What is Jae Oh's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Jae Oh enrolled in Medicare?
Yes. Jae Oh is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jae Oh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jae Oh reassigns Medicare benefits to Family Health Centers Of San Diego, Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jae Oh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jae Oh was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jae Sang Oh, DMD · NPI 1235612599
Dentist provider in Camp Pendleton, California. Individual provider, active in the CMS NPPES registry since September 12, 2018.
## Identity
- **NPI:** 1235612599 (Entity type: Individual)
- **Enumerated:** September 12, 2018
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 107185 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 MERCY CIR, Camp Pendleton, CA 92055
- **Phone:** (760) 725-1288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Family Health Centers Of San Diego, Inc (NPI 1386689701, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235612599) · Data from the CMS NPPES public registry.