Ollie Health Medical Group, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

OLLIE HEALTH MEDICAL GROUP, INC.

Practice address

9700 Business Park Dr Ste 406
Sacramento, CA 95827-1718

Phone

(916) 546-9535

NPI assigned

Apr 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Katie Long, MD

Title

President

Phone

(916) 546-9535

Specialties & licenses 1

Addresses

Other names 1

• Ollie Health Doing business as

Locations

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1497374904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 BUSINESS PARK DR STE 406",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271718",
            "telephone_number": "916-546-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 BUSINESS PARK DR STE 406",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271718",
            "telephone_number": "916-546-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLLIE HEALTH MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-546-9535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ollie Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peaches J Oliver
• Robert V. Oliver, MD
• Zenesha Oliver
• Taylor Nicole Oliveria
• Austin Olivo
• Miles Ollison
• Beatriz Aurora Olmedo
• Mayra Olmedo
• Charleen Olmstead
• Jill Blasi Olmstead, MSW

• Pediatrics Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.