Active NPI
Rebecca A. Olivares, M.D.
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1417971938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G5446
- Practice address
- 426 Castroville Rd
Ste 1
San Antonio, TX 78207-5169 - Phone
- (210) 922-2270
- Fax
- (210) 922-2292
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G5446 | TX | Primary |
Addresses
Primary practice location
426 Castroville Rd
Ste 1
San Antonio, TX 78207-5169
Mailing address
426 Castroville Rd
Ste 1
San Antonio, TX 78207-5169
Phone (210) 922-2270
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133461706 | Medicaid | TX | |
| 133461702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090604000575 | TX | Practitioner - Family Practice | 3375693740 | Practice locations: San Antonio, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
426 Castroville Rd
Suite 1
San Antonio, TX 78207-5120
Phone (210) 922-2270
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1417971938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 CASTROVILLE RD",
"address_2": "STE 1",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782075169",
"telephone_number": "210-922-2270",
"fax_number": "210-922-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 CASTROVILLE RD",
"address_2": "STE 1",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782075169",
"telephone_number": "210-922-2270",
"fax_number": "210-922-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVARES",
"first_name": "REBECCA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G5446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133461706",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133461702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.