Individual provider Active NPI

Vivianfaith Oloo, PA-C

  • Physician Assistant
  • Tomball, TX
National Provider Identifier
1053655142
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
13406 Medical Complex Dr Ste 180
Tomball, TX 77375-3339
Phone
(832) 953-2280
Fax
(832) 953-2829
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

13406 Medical Complex Dr Ste 180
Tomball, TX 77375-3339

Mailing address

PO Box 679113
Dallas, TX 75267-9113
Phone (832) 953-2280

Other practice location 1

13636 Breton Ridge St
suite B
Houston, TX 77070-6077
Phone (713) 973-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141120000690 TX Practitioner - Physician Assistant 4688896087 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

940 York Dr
Desoto, TX 75115
Phone (972) 331-4554

8550 Jason St
Houston, TX 77074
Phone (346) 231-7500

Interoperability endpoints

  • Direct secure messaging: vivianfaith.oloo@340371529072644.direct.elationemr.com

Organizations & group practices 3

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1053655142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679113",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752679113",
            "telephone_number": "832-953-2280",
            "fax_number": "832-953-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13406 MEDICAL COMPLEX DR STE 180",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753339",
            "telephone_number": "832-953-2280",
            "fax_number": "832-953-2829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13636 Breton Ridge St",
            "address_2": "suite B",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770706077",
            "country_code": "US",
            "telephone_number": "713-973-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLOO",
        "first_name": "VIVIANFAITH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.