Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jae Sang Oh , DMD

Dentist β€’ Camp Pendleton, CA

Active NPI 1235612599 Individual Practitioner Male Practitioner
Practice location in NPPES

200 Mercy Cir
Camp Pendleton, CA 92055

Call 7607251288 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 Mercy Cir

Camp Pendleton, CA 92055

Telephone 7607251288
Organization at the Same NPPES Address or Phone
Intrepid Spirit Center Facility NPI 1184187296

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $33.65 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Oh has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Oh as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Camp Pendleton and California

39 active clinicians are listed under Dentist with a practice address in Camp Pendleton, CA (14,738 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Camp Pendleton

0% of these 39 clinicians have the CMS telehealth indicator.

0% of these 39 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $33.65.

Manufacturer Payment Nature Product Type Amount ($)
ZIMVIE INC.
Food and Beverage
In-kind items and services
β€” General $33.65

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES CA 107185

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES IL 019.031875

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DENTIST

Medicare Enrollment ID

I20220527001884

Enrollment State Jurisdiction

CA

PECOS Control ID

4385022631

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
NPI 1265724553

Doctor of Medicine (M.D.)

Darren Couture , CRNA

Nurse Anesthetist, Certified Registered

NPI 1316912090

Certified Registered Nurse Anesthetist

Jason Duryee , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1477268936

Psychiatric-Mental Health Nurse Practitioner

Dr. Daniel Fisher , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1710266044

Doctor of Dental Surgery

Chelsea Henry , PA-C

Physician Assistant

NPI 1801525035

Physician Assistant (Certified)

Dr. Jessica Herold , DO

Emergency Medicine

NPI 1053795914

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 07, 2026

Registered at 200 MERCY CIR, CAMP PENDLETON, CA 92055 (Tel: 7607251288)

πŸ“
Updated Business Mailing Address August 07, 2026

Registered at 200 MERCY CIR, CAMP PENDLETON, CA 92055

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2024

Dentist (license number reported to NPPES: CA 107185)

βœ…
NPI Profile Active September 12, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 12, 2018

Registered at 3001 GREEN BAY RD, NORTH CHICAGO, IL 600643048 (Tel: 8476882100)

πŸ“
Business Mailing Address (Initial Record) September 12, 2018

Registered at 842 WAUKEGAN RD, NORTHBROOK, IL 600623714 (Tel: 8589431174)

πŸ‘€
Provider Name / Credentials (Initial Record) September 12, 2018

Recorded as JAE OH, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2018

Dentist (license number reported to NPPES: IL 019.031875)

🟒
Initial NPI Registration & Enumeration September 12, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1235612599
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2018
Last Update: August 07, 2026
Sole Proprietor: No

Other Dentists in Camp Pendleton

Mailing Address

200 Mercy Cir

Camp Pendleton, CA 92055

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.