Active NPI
Jared Oliphant
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1215624028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 4164 Brockton Ave
Riverside, CA 92501-3400 - Phone
- (951) 683-5193
- NPI assigned
- Apr 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Health Educator | 174H00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | CA | Primary |
Addresses
Primary practice location
4164 Brockton Ave
Riverside, CA 92501-3400
Mailing address
4164 Brockton Ave
Riverside, CA 92501-3400
Phone (951) 683-5193
Other practice location 1
6711 Arlington Ave Ste C
Riverside, CA 92504-1966
Phone (909) 495-0497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1215624028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4164 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013400",
"telephone_number": "951-683-5193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4164 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013400",
"telephone_number": "951-683-5193"
}
],
"practiceLocations": [
{
"address_1": "6711 Arlington Ave Ste C",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925041966",
"country_code": "US",
"telephone_number": "909-495-0497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIPHANT",
"first_name": "JARED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-20",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"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 Sep 9, 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.