Emil Lopez Olivarez Jr.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1401 Parkmoor Ave Ste 110
San Jose, CA 95126-3453

Phone

(408) 318-3084

NPI assigned

Dec 20, 2018

Last updated

Dec 20, 2018By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1164994737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 AIDA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221301",
            "telephone_number": "831-776-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PARKMOOR AVE STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263453",
            "telephone_number": "408-318-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAREZ",
        "first_name": "EMIL",
        "middle_name": "LOPEZ",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haden Oliphant
• Sarah Oliphant
• Natalie Olivares Orozco
• Jocelyn Alexandra Olivares
• Denise Shantal Olivarez
• Gabriella Olivarez, M.A.
• Mara Hendrielle Oliveira Menezes
• Niane Oliveira Ribeiro de Sa
• Chloe Veronica Oliveira
• Iesha Oliver

• Behavior Technician in San Jose, CA
• Providers in San Jose, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.