Individual provider Active NPI

Lua Oliva

  • Behavior Analyst
  • San Mateo, CA
National Provider Identifier
1033684865
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
400 Concar Dr Ste 4-134
San Mateo, CA 94402-2681
Phone
(650) 931-6300
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

400 Concar Dr Ste 4-134
San Mateo, CA 94402-2681

Mailing address

5504 Aspen Grove LN
Elk Grove, CA 95757

Other practice location 1

5504 Aspen Grove ln
Elk Grove, CA 95757
Phone (916) 753-9315

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ldavidson9@palsautism.com
CONNECT URL 05312019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Opya, Inc. Behavior Analyst CurrentSince Feb 18, 2024 Accepting new patients

Locations

400 Concar Dr
Ste 4134
San Mateo, CA 94402
Phone (650) 284-2687

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1033684865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 ASPEN GROVE LN",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONCAR DR STE 4-134",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022681",
            "telephone_number": "650-931-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5504 Aspen Grove ln",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "95757",
            "country_code": "US",
            "telephone_number": "916-753-9315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVA",
        "first_name": "LUA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldavidson9@palsautism.com",
            "affiliation": "N",
            "address_1": "5504 Aspen Grove ln",
            "city": "Elk Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "05312019",
            "affiliation": "N",
            "address_1": "400 Concar Dr Ste 4-134",
            "city": "San Mateo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "944022681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.