Graciela Shimizu Oliva, DDS, MSD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

61883 Issued in CA

Practice address

1300 University Dr
Suite 1
Menlo Park, CA 94025-4203

Phone

(650) 600-8206

NPI assigned

Dec 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1154625408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UNIVERSITY DR",
            "address_2": "SUITE 1",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254203",
            "telephone_number": "650-600-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UNIVERSITY DR",
            "address_2": "SUITE 1",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254203",
            "telephone_number": "650-600-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMIZU OLIVA",
        "first_name": "GRACIELA",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401413018",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "61883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shruti N Sheth, M.D., MSC.
• Mary Sheu, MD
• Lisa Shieh
• Nicole Shiloff, PH.D.
• Jien Shim, M.D.
• Margaret Chin Whai Shor, OTR/L
• Kelly Showen, PSYD
• Nathaniel Shrake, CTRS
• Lisa Shumway
• Kareen Sicangco

• Prosthodontics in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.