MEDICARE: OCCUPATIONAL HEALTH CENTERS OF CALIFORNIA, A MEDICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QH0100X	Health Service Clinic/Center
2	261QP2000X	Physical Therapy Clinic/Center
3	261QX0100X	Occupational Medicine Clinic/Center

General Provider Information

NPI Number	:	1538203831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCCUPATIONAL HEALTH CENTERS OF CALIFORNIA, A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DRIVE
Second Line	:	SUITE 1200 WEST TOWER
City	:	ADDISON
State	:	TX
Zip	:	75001
Country	:	US
Telephone Number	:	972-364-8000
Fax Number	:	214-775-4502

Provider Business Practice Location Address
First Line	:	6174 STATE FARM DR.
Second Line	:
City	:	ROHNERT PARK
State	:	CA
Zip	:	94928
Country	:	US
Telephone Number	:	415-648-9501
Fax Number	:	415-648-9508

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JOHN ANDERSON
Credential	:	DO
Telephone Number	:	972-364-8000

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	06/20/2025

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