Active NPI
Olivier Urayeneza, M.D.
- Surgery Physician
- Paramount, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A133496
- Practice address
- 15942 Colorado Ave
Paramount, CA 90723 - Phone
- (323) 545-9288
- NPI assigned
- Jun 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | A133496 | CA | Primary |
Addresses
Primary practice location
15942 Colorado Ave
Paramount, CA 90723
Mailing address
15942 Colorado Ave
Paramount, CA 90723-5008
Phone (323) 545-9288
Other practice location 1
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3456
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Loma Linda University School of Medicine, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15944 Colorado Ave
Paramount, CA 90723-5008
Phone (562) 531-0785
Hospital & facility affiliations
- California Hospital Medical Center la
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 77 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A133496 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Pacific Surgical PC | Single Specialty | Current | Accepting new patients |
| Dur Hinika Surgical, a Professional Medical Corporation | Single Specialty | Past | Accepting new patients |
| Lab Serv, Inc. | Past | Accepting new patients |
Locations
15942 Colorado Ave
Paramount, CA 90723
Phone (323) 508-9700
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Surgery Physician
- Los Angeles, CA
- NPI 1821265273
Single Specialty
-
- Clinical Medical Laboratory
- Paramount, CA
- NPI 1295892883
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114081056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1457588758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15942 COLORADO AVE",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907235008",
"telephone_number": "323-545-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15942 COLORADO AVE",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "90723",
"telephone_number": "323-545-9288"
}
],
"practiceLocations": [
{
"address_1": "1 Atwell Rd",
"address_purpose": "LOCATION",
"city": "Cooperstown",
"state": "NY",
"postal_code": "133261301",
"country_code": "US",
"telephone_number": "607-547-3456",
"fax_number": "607-547-3259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "URAYENEZA",
"first_name": "OLIVIER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-15",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A133496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramount, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.