Gustavo F Olivares, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04553 Issued in TX

Practice address

6900 N 10TH St Ste 8
McAllen, TX 78504-3151

Phone

(956) 994-8707

Fax

(956) 994-1696

NPI assigned

Apr 3, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Ag Medical PLLC

  • Family Medicine Physician
  • Mission, TX
  • NPI 1265170948

  TX

  Medicare reassignment
• All Children'S Pediatric Clinic P.a.

  • Pediatrics Physician
  • McAllen, TX
  • NPI 1730257106
  NPD (past)

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1497997571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 N 10TH ST STE 8",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043151",
            "telephone_number": "956-994-8707",
            "fax_number": "956-994-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N 10TH ST STE 8",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043151",
            "telephone_number": "956-994-8707",
            "fax_number": "956-994-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "GUSTAVO",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ok Pharmacy
• Bernard Sanya Okumu, DDS
• Olff,Inc.
• Olga Maria Olivares-Herrera, MD
• Angelina Olivares, SLP
• Jose Omar Olivares III
• Enedelia Ethica Olivarez, M. ED.
• Kimberly Trevino Olivarez, COTA
• Leticia Olivarez, ATP
• Manuel Olivarez Jr., BSN, RN

• Physician Assistant in McAllen, TX
• Providers in McAllen, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.

Verify at the official NPI Registry.