Maria Raye Gonzales Oliveros, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

55973 Issued in CA

Practice address

625 E Carson St
Carson, CA 90745-2720

Phone

(310) 830-5787

Fax

(310) 830-3348

NPI assigned

Sep 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1073700530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452720",
            "telephone_number": "310-830-5787",
            "fax_number": "310-830-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452720",
            "telephone_number": "310-830-5787",
            "fax_number": "310-830-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEROS",
        "first_name": "MARIA RAYE",
        "middle_name": "GONZALES",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfort N Ojukwu
• Kingjoe Chigozie Okoh, NP
• Martin Okon
• Francis O Okpan, FNP-C
• Cindy Olivares Lopez
• Moromoke Olowookere
• Tu Sang Om, M.D.
• Omid Barkhordar Dental Corporation
• Irene Delfin Ona, DMD
• One Family Health Enterprise

• Dentist in Carson, CA
• Providers in Carson, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.