Healthcare Provider Details

I. General information

NPI: 1568358760
Provider Name (Legal Business Name): TAUREAN ORAM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

895 DOVE ST STE 300
NEWPORT BEACH CA
92660-2996
US

IV. Provider business mailing address

26 SAND DOLLAR CT
NEWPORT BEACH CA
92663-2107
US

V. Phone/Fax

Practice location:
  • Phone: 562-652-3682
  • Fax: 562-707-3037
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95037579
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: