Organization Active NPI

Ronald E Oler

Doing business as Groveland Chiropractic and Nutrition

  • Chiropractor
  • Groveland, CA
National Provider Identifier
1114433653
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC10746 Issued in CA
Legal business name
RONALD E OLER
Doing business as
Groveland Chiropractic and Nutrition
Practice address
18687 Main St Ste D1
Groveland, CA 95321-9463
Phone
(209) 962-0662
Fax
(877) 422-8884
NPI assigned
Dec 20, 2017
Last updated
Jan 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Ms. Pamela J OlerNPI 1457066680
Title
Clinic Director
Phone
(209) 768-5514

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
Chiropractor 111N00000X DC10746 CA Primary

Addresses

Primary practice location

18687 Main St Ste D1
Groveland, CA 95321-9463

Mailing address

PO Box 845
Groveland, CA 95321-0845
Phone (209) 962-0662

Other identifiers 3

IdentifierTypeStateIssuer
DC0107460OtherCABLUE SHIELD OF CA
DC01074600MedicaidCA
350052177OtherRAILROAD MEDICARE

Other names 1

  • Groveland Chiropractic and Nutrition Doing business as

National Provider Directory

National Provider Directory

Locations

18687 Main St
Ste D1
Groveland, CA 95321
Phone (209) 768-5514

Practitioners & affiliated clinicians

Practitioners 2

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": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1114433653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "GROVELAND",
            "state": "CA",
            "postal_code": "953210845",
            "telephone_number": "209-962-0662",
            "fax_number": "877-422-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18687 MAIN ST STE D1",
            "city": "GROVELAND",
            "state": "CA",
            "postal_code": "953219463",
            "telephone_number": "209-962-0662",
            "fax_number": "877-422-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD E OLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "OLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "209-768-5514",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC10746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "DC0107460",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC01074600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350052177",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groveland Chiropractic and Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groveland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.