Richard John Olivarez II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

614 W Manchester Blvd Ste 104
Inglewood, CA 90301-1683

Phone

(310) 412-0261

Fax

(310) 412-3365

NPI assigned

Jan 18, 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": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1174031694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W MANCHESTER BLVD STE 104",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011683",
            "telephone_number": "424-205-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W MANCHESTER BLVD STE 104",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011683",
            "telephone_number": "310-412-0261",
            "fax_number": "310-412-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAREZ",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-18",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nene P Okwuje, RPH
• Omotunde Titilope Olagunju, M.D
• Olufunmilayo Olanipekun, DPM
• Julie Lyn Oldenburg, RD, CDE
• Olga Medical Distributors Inc.
• Olive Home Health Center Inc
• Dionzhane Oliver, DDS
• Loraine Oliver
• Towan Oliver
• Megan Shaune Olson, LCSW

• Addiction (Substance Use Disorder) Counselor in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.