Organization Active NPI

Olive Support Services

  • Community/Behavioral Health Agency
  • Palmdale, CA
National Provider Identifier
1437913118
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OLIVE SUPPORT SERVICES
Practice address
2231 E Palmdale Blvd Ste M
Palmdale, CA 93550-1345
Phone
(661) 941-8688
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Sophia Otasowie
Title
Director of Programs
Phone
(661) 718-5878

Specialties & licenses 1

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

Addresses

Primary practice location

2231 E Palmdale Blvd Ste M
Palmdale, CA 93550-1345

Mailing address

2231 E Palmdale Blvd Ste M
Palmdale, CA 93550-1345
Phone (661) 941-8688

National Provider Directory

National Provider Directory

Locations

2231 E Palmdale Blvd
Ste M
Palmdale, CA 93550
Phone (661) 941-8688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1437913118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 E PALMDALE BLVD STE M",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935501345",
            "telephone_number": "661-941-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 E PALMDALE BLVD STE M",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935501345",
            "telephone_number": "661-941-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "OTASOWIE",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "661-718-5878"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.