Michael Raymund Oliverio Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A45042 Issued in CA

Practice address

330 W Ramsey St
Banning, CA 92220-4823

Phone

(951) 849-1950

NPI assigned

Nov 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oliverio Medical CorporationGroup PAC ID 1951675073, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Optima Care Home Health Services Inc Home health agency, Ontario, CA, CCN 059099
• Med Care Plus Home Health Inc Home health agency, Pasadena, CA, CCN 058155
• San Gorgonio Memorial Hospital Hospital, Banning, CA, CCN 050054

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Oliverio Medical Corporation

  • Family Medicine Physician
  • Banning, CA
  • NPI 1710415492
  Medicare reassignment Care Compare group NPD Authorized official
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)
• San Gorgonio Memorial Hospital

  • General Acute Care Hospital
  • Banning, CA
  • NPI 1568469997
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Med Care Plus Home Health, Inc.

  • Home Health Agency
  • Pasadena, CA
  • NPI 1871963140
  Care Compare affiliation
• Optima Care Home Health Services, Inc.

  • Home Health Agency
  • Ontario, CA
  • NPI 1851628846
  Care Compare affiliation
• San Gorgonio Memorial Hospital

  • General Acute Care Hospital
  • Banning, CA
  • NPI 1568469997
  Care Compare affiliation

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063591915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204823",
            "telephone_number": "951-849-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204823",
            "telephone_number": "951-849-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERIO",
        "first_name": "MICHAEL",
        "middle_name": "RAYMUND",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A450420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miguel Obregon III
• Yajaira Oceguera-Rocha
• Michael Nicholas Oktay
• Oliverio Medical Corporation
• Oliverio Medical Group
• Ryan Michael Oliverio, DO,MS
• Ha Quyen Thi Ong, PHARM.D
• Alma Rosa Ontiveros
• Stephanie Marie Ooley
• Gladys Orellana

• Family Medicine Physician in Banning, CA
• Providers in Banning, CA by specialty
• Family Medicine Physician in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.