NPIMap

Organization Active NPI

Olive Crest

  • Community/Behavioral Health Agency
  • Riverside, CA
National Provider Identifier
1215418165
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OLIVE CREST
Practice address
525 Technology CT Ste 102
Riverside, CA 92507-2181
Phone
(951) 686-8500
NPI assigned
Aug 28, 2018
Last updated
Aug 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Deleshia Horne, MANPI 1447563416
Title
Qa Supervisor
Phone
(951) 688-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

525 Technology CT Ste 102
Riverside, CA 92507-2181

Mailing address

525 Technology CT Ste 102
Riverside, CA 92507-2181
Phone (951) 686-8500

Other practice location 1

525 Technology Ct Ste 105
Riverside, CA 92507-2181
Phone (951) 686-8500 ext. 1914

National Provider Directory

National Provider Directory
Tax ID family
Olive Crest32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

525 Technology Ct
Ste 102
Riverside, CA 92507
Phone (512) 617-7312

525 Technology Ct
Ste 105
Riverside, CA 92507
Phone (951) 394-1367

Practitioners & affiliated clinicians

Practitioners 217

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 217

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1215418165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TECHNOLOGY CT STE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072181",
            "telephone_number": "951-686-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TECHNOLOGY CT STE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072181",
            "telephone_number": "951-686-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Technology Ct Ste 105",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925072181",
            "country_code": "US",
            "telephone_number": "951-686-8500 x1914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVE CREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "DELESHIA",
        "authorized_official_title_or_position": "QA SUPERVISOR",
        "authorized_official_telephone_number": "951-688-8500",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.