Active NPI
Gavino Quinto Oliva, MD
- Surgery Physician
- Oakland, CA
National Provider Identifier
1487638656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A62505
- Practice address
- 2221 Martin Luther King Jr Way
Oakland, CA 94612-1318 - Phone
- (510) 267-7931
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A62505 | CA | Primary |
Addresses
Primary practice location
2221 Martin Luther King Jr Way
Oakland, CA 94612-1318
Mailing address
150 Muir Road Reception D
Martinez, CA 95433
Other practice location 1
150 Muir Rd Reception D
Martinez, CA 94553-4668
Phone (925) 372-2000 ext. 4175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A62505 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1487638656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MUIR ROAD RECEPTION D",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "95433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 MARTIN LUTHER KING JR WAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121318",
"telephone_number": "510-267-7931"
}
],
"practiceLocations": [
{
"address_1": "150 Muir Rd Reception D",
"address_purpose": "LOCATION",
"city": "Martinez",
"state": "CA",
"postal_code": "945534668",
"country_code": "US",
"telephone_number": "925-372-2000 x4175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVA",
"first_name": "GAVINO",
"middle_name": "QUINTO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A62505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.