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OCEAN LIFE MEDICAL GROUP INC
NPI 1720645104
General Practice in Santa Clarita, CA

Active since May 21, 2019
18069 W TERRA VERDE PLACE, SANTA CLARITA, CA 91387(661) 360-7523(661) 424-7900 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ocean Life Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCEAN LIFE MEDICAL GROUP INC (NPI 1720645104) is a healthcare organization registered as a general practice in Santa Clarita, California and active in the NPI registry since May 2019. The organization lists Luis M Origel, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1720645104
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameOCEAN LIFE MEDICAL GROUP INC
Location Address18069 W TERRA VERDE PLACESanta Clarita, CA 91387-1830
Mailing Address18069 W Terra Verde PlaceSanta Clarita, CA 91387-1830 · (661) 360-7523 · Fax (661) 424-7990
Phone(661) 360-7523
Fax(661) 424-7900
Organization SubpartNo
Authorized OfficialLuis M OrigelPresident/ceo · (661) 289-1154
Enumeration DateMay 21, 2019
✔ NPI 1720645104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
18069 W TERRA VERDE PLACE, Santa Clarita, CA 91387
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ocean Life Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ocean Life Medical Group Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Luis Origel
Nurse Practitioner
NPI 1447672696
10200 SEPULVEDA BLVD STE 140
Mission Hills, CA 91345
(661) 289-1154
✔ PECOS✔ Accepts Medicare11 mi
Vincent Bennett, MD
Emergency Medicine
NPI 1982650776
1300 N VERMONT AVE
Los Angeles, CA 90027
(323) 913-4892
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ocean Life Medical Group Inc's NPI number?

The NPI number for Ocean Life Medical Group Inc is 1720645104. It was assigned to this organization in the NPPES registry on May 21, 2019.

Where is Ocean Life Medical Group Inc located?

Ocean Life Medical Group Inc is located at 18069 W Terra Verde Place, Santa Clarita, CA 91387. The listed phone number is (661) 360-7523.

What is Ocean Life Medical Group Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ocean Life Medical Group Inc enrolled in Medicare?

Yes. Ocean Life Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ocean Life Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ocean Life Medical Group Inc, in Emergency Medicine and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ocean Life Medical Group Inc was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.