Oliveira Medical Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A7032 Issued in CA

Legal business name

OLIVEIRA MEDICAL INC

Practice address

506 W Graham Ave
Ste 107
Lake Elsinore, CA 92530

Phone

(951) 471-5116

Fax

(951) 471-5226

NPI assigned

Aug 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Edward Oliveira, D.O.NPI 1124291828

Title

Owner

Phone

(951) 471-5116

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Edward Oliveira, D.O.

  • General Practice Physician
  • Lake Elsinore, CA
  • NPI 1124291828
  Authorized official Same address or phone
• Diane Brown, P.A.

  • Physician Assistant
  • Lake Elsinore, CA
  • NPI 1821147208
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518076256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W GRAHAM AVE",
            "address_2": "STE 107",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92530",
            "telephone_number": "951-471-5116",
            "fax_number": "951-471-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W GRAHAM AVE",
            "address_2": "STE 107",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92530",
            "telephone_number": "951-471-5116",
            "fax_number": "951-471-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVEIRA MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-471-5116",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A7032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX70320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucas Odahlen, D.C.
• Michelle Oei, PHARM.D.
• Jeanna Marie Ogle
• Oh Jae Kwon, DDS, Inc (Elsinore Main Street Dental)
• Alyssa Mahealani Ohara
• Thomas Edward Oliveira, D.O.
• Donald Olson
• Timothy M Olson, MFT
• Alisson Kimberly Orellana Zamora
• Maira Cristina Ortega

• General Practice Physician in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.