Organization Active NPI

California Ear, Nose & Throat Institute

  • Medical Specialty Clinic/Center
  • Mountain View, CA
National Provider Identifier
1073404562
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CALIFORNIA EAR, NOSE & THROAT INSTITUTE
Practice address
2490 Hospital Dr Ste 205
Mountain View, CA 94040-4124
Phone
(650) 880-1088
Fax
(650) 880-1088
NPI assigned
Jul 11, 2025
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Dr. Flavio Oliveira, MD, PHDNPI 1932698065
Title
Owner
Phone
(650) 880-1088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

2490 Hospital Dr Ste 205
Mountain View, CA 94040-4124

Mailing address

2490 Hospital Dr Ste 205
Mountain View, CA 94040-4124
Phone (650) 880-1088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250911003949 CA Part B Supplier - Clinic/Group Practice 8022511450 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain View, CA

National Provider Directory

National Provider Directory

Locations

2490 Hospital Dr
Ste 205
Mountain View, CA 94040
Phone (650) 880-1088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1073404562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR STE 205",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404124",
            "telephone_number": "650-880-1088",
            "fax_number": "650-880-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR STE 205",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404124",
            "telephone_number": "650-880-1088",
            "fax_number": "650-880-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA EAR, NOSE & THROAT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA",
        "authorized_official_first_name": "FLAVIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-880-1088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.