Oliva Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103129 Issued in CA

Legal business name

OLIVA MEDICAL INC

Doing business as

Duramed

Practice address

760 5TH St
Davis, CA 95616-4142

Phone

(866) 699-2247

Fax

(866) 699-2244

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Authorized official

Name

Michael Montgomery

Title

President

Phone

(866) 699-2247

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Duramed Doing business as

Locations

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1255331179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 5TH ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164142",
            "telephone_number": "866-699-2247",
            "fax_number": "866-699-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 5TH ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164142",
            "telephone_number": "866-699-2247",
            "fax_number": "866-699-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVA MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-699-2247"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03078F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duramed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ole Health
• Ole Health
• Ole Health
• Elizabeth Cretti Oleson, AGNP-BC
• Lewis Paul Oleson, LCSW
• Alison Marie Oliver, RN
• Rene Oliver
• Jose Oliveria III, DNP
• Jeanne-Marie Olmo, PT
• Britney Alana Olson

• Durable Medical Equipment & Medical Supplies in Davis, CA
• Providers in Davis, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.