Individual provider Active NPI

David Charles Keahi Oliver, MD

  • Emergency Medicine Physician
  • Torrance, CA
National Provider Identifier
1316502016
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A182218 Issued in CA
Practice address
1000 W Carson St BLDG D-9
Torrance, CA 90502-2004
Phone
(310) 222-3501
NPI assigned
May 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A182218 CA Primary

Addresses

Primary practice location

1000 W Carson St BLDG D-9
Torrance, CA 90502-2004

Mailing address

1000 W Carson St BLDG D-9
Torrance, CA 90502-2004
Phone (310) 222-3501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210910002674 CA Practitioner - Emergency Medicine 5496151730 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Washington School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Emergency Physicians IncGroup PAC ID 5597998120, 22 clinicians

Practice addresses (Care Compare)

3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 325-9110

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A182218CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Avenue Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Continuem CurrentSince Dec 1, 2021 Accepting new patients
Torrance Emergency Physicians, Inc Emergency Medicine CurrentSince Jul 15, 2023 Accepting new patients
Continuem PastSince Nov 9, 2021 Accepting new patients

Locations

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

6430 South St
Lakewood, CA 90713
Phone (310) 210-8895

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

Interoperability endpoints

  • Direct secure messaging: doliver696634@direct.memorialcare.org
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10665844

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1316502016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST BLDG D-9",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST BLDG D-9",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "DAVID",
        "middle_name": "CHARLES KEAHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A182218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.