Individual provider Active NPI

Ricardo Librado Olivo, M.D.

  • Neurology Physician
  • Murrieta, CA
National Provider Identifier
1154647014
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A120888 Issued in CA
Practice address
24671 Monroe Ave Ste C102
Murrieta, CA 92562-9589
Phone
(951) 797-4446
Fax
(833) 989-2495
NPI assigned
Apr 15, 2010
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A120888 CA Primary

Addresses

Primary practice location

24671 Monroe Ave Ste C102
Murrieta, CA 92562-9589

Mailing address

24671 Monroe Ave Ste C102
Murrieta, CA 92562-9589
Phone (951) 797-4446

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140717002025 CA Practitioner - Neurology 0648496224 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24671 Monroe Ave
C102
Murrieta, CA 92562-9589
Phone (951) 797-4446

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A120888CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jun 8, 2021 Accepting new patients
Innovative Neurology, Inc. Neurology CurrentSince Jun 1, 2021 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jun 8, 2021 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Nov 1, 2018 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Riverside Medical Clinic, Inc Neurology CurrentSince Nov 1, 2018 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients

Locations

5525 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 644-6600

24671 Monroe Ave
#C102
Murrieta, CA 92562
Phone (951) 677-4105

24671 Monroe Ave
Ste C102
Murrieta, CA 92562
Phone (951) 797-4446

38860 Sky Canyon Dr
Bldg A
Murrieta, CA 92563
Phone (442) 777-5920

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

3660 Arlington Ave
Ofc Cp
Riverside, CA 92506
Phone (951) 782-6218

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22624/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ricardo.olivo.1@22624.direct.athenahealth.com
  • Direct secure messaging: rolivo9874@direct.llu.edu

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1154647014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24671 MONROE AVE STE C102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629589",
            "telephone_number": "951-797-4446",
            "fax_number": "833-989-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24671 MONROE AVE STE C102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629589",
            "telephone_number": "951-797-4446",
            "fax_number": "833-989-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVO",
        "first_name": "RICARDO",
        "middle_name": "LIBRADO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A120888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.