Thomas Edward Oliveira, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A7032 Issued in CA

Practice address

506 W Graham Ave
Suite 107
Lake Elsinore, CA 92530-3666

Phone

(951) 471-5116

NPI assigned

Apr 2, 2008

Sex

Male

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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 and National Provider Directory roles.

• Woodland Hills Medical Clinic II Inc.

  • Family Medicine Physician
  • Woodland Hills, CA
  • NPI 1659453140
  Medicare reassignment NPD
• Woodland Hills Medical Clinic Inc.

  • Special Hospital
  • Woodland Hills, CA
  • NPI 1962563734
  Medicare reassignment NPD

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1124291828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W GRAHAM AVE",
            "address_2": "SUITE 107",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925303666",
            "telephone_number": "951-471-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W GRAHAM AVE",
            "address_2": "SUITE 107",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925303666",
            "telephone_number": "951-471-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEIRA",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A7032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Oei, PHARM.D.
• Jeanna Marie Ogle
• Oh Jae Kwon, DDS, Inc
• Alyssa Mahealani Ohara
• Oliveira Medical Inc
• Donald Olson
• Timothy M Olson, MFT
• Alisson Kimberly Orellana Zamora
• Maira Cristina Ortega
• Valerie Ortiz

• General Practice Physician in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.