Individual provider Active NPI

Linda Oliver, D.C., L.AC.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1013071869
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28933 Issued in CA
Practice address
9750 Miramar Rd Ste 180
San Diego, CA 92126-7501
Phone
(858) 800-1247
Fax
(858) 800-1248
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10949 CA
Chiropractor 111N00000X DC28933 CA Primary

Addresses

Primary practice location

9750 Miramar Rd Ste 180
San Diego, CA 92126-7501

Mailing address

9750 Miramar Rd Ste 180
San Diego, CA 92126-7501
Phone (858) 800-1247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031117000936 CA Practitioner - Chiropractic 9133033863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9750 Miramar Rd
Suite 180
San Diego, CA 92126-7501
Phone (858) 800-1247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC28933CAMDChiropractor
AC10949CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Linda Oliver Chiropractic Inc Chiropractor CurrentSince Mar 7, 2016 Accepting new patients

Locations

6755 Mira Mesa Blvd
Ste 140
San Diego, CA 92121
Phone (858) 457-1925

9750 Miramar Rd
Ste 180
San Diego, CA 92126
Phone (858) 800-1247

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1013071869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD STE 180",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921267501",
            "telephone_number": "858-800-1247",
            "fax_number": "858-800-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD STE 180",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921267501",
            "telephone_number": "858-800-1247",
            "fax_number": "858-800-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10949",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.