Active NPI
Oliva Enriquez Del Pilar, M.D.
- Psychiatry Physician
- Modesto, CA
National Provider Identifier
1457415879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A75889
- Practice address
- 1501 Claus Rd
Modesto, CA 95355-9711 - Phone
- (559) 801-3848
- NPI assigned
- Dec 20, 2006
- Last updated
- Dec 9, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A75889 | CA | Primary |
Addresses
Primary practice location
1501 Claus Rd
Modesto, CA 95355-9711
Mailing address
1501 Claus Rd
Modesto, CA 95355-9711
Phone (559) 801-3848
Other names 1
- Dr. Oliva Enriquea Landicho
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240417000983 | CA | Practitioner - Psychiatry | 6406873785 | Practice locations: Modesto, CA |
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": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1457415879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 CLAUS RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953559711",
"telephone_number": "559-801-3848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 CLAUS RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953559711",
"telephone_number": "559-801-3848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL PILAR",
"first_name": "OLIVA",
"middle_name": "ENRIQUEZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A75889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVA",
"last_name": "LANDICHO",
"middle_name": "ENRIQUEA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.