Richard Manuel Olivas

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

11016 Saratoga Rd
Apple Valley, CA 92308-9431

Phone

(760) 240-7225

Fax

(760) 240-2723

NPI assigned

Feb 22, 2018

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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1174024558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11016 SARATOGA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923089431",
            "telephone_number": "760-240-7225",
            "fax_number": "760-240-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11016 SARATOGA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923089431",
            "telephone_number": "760-240-7225",
            "fax_number": "760-240-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAS",
        "first_name": "RICHARD",
        "middle_name": "MANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Maria Ogg
• Chris Okwuosa, M.D.
• Christian Eric Olafsen, MD
• Vincent Phillip Olafsen, DDS
• Ann Elizabeth Oleneck
• Howard W Oliver, D.O.
• Lori A Oliver
• Isis Oliveros-Sambrano
• Sunday Olalekan Olowookere, SUDCC, CADC, MBA
• Desiree Olvera

• Contractor in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.