Individual provider Active NPI

Alberta Cataag Olegario, MD

  • Internal Medicine Physician
  • Barstow, CA
National Provider Identifier
1053357012
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A38258 Issued in CA
Practice address
209 N Second Ave
Barstow, CA 92311
Phone
(760) 256-3568
Fax
(760) 256-7470
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A38258 CA Primary

Addresses

Primary practice location

209 N Second Ave
Barstow, CA 92311

Mailing address

209 N Second Ave
Barstow, CA 92311
Phone (760) 256-3568

Other identifiers 1

IdentifierTypeStateIssuer
00A382580MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A38258CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053357012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N SECOND AVE",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "92311",
            "telephone_number": "760-256-3568",
            "fax_number": "760-256-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N SECOND AVE",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "92311",
            "telephone_number": "760-256-3568",
            "fax_number": "760-256-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEGARIO",
        "first_name": "ALBERTA",
        "middle_name": "CATAAG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A38258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A382580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.