Active NPI
Olivar Emperado
- Driver
- Laguna Hills, CA
National Provider Identifier
1518547694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- Y8507969
- Practice address
- 25061 Mackenzie St
Laguna Hills, CA 92653-5082 - Phone
- (844) 247-9111
- NPI assigned
- Apr 12, 2021
- Last updated
- May 17, 2021
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | Y8507969 | CA | Primary |
Addresses
Primary practice location
25061 Mackenzie St
Laguna Hills, CA 92653-5082
Mailing address
24012 Calle de la Plata Ste 400
Laguna Hills, CA 92653-7623
Phone (833) 247-9111
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Y8507969 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1518547694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24012 CALLE DE LA PLATA STE 400",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926537623",
"telephone_number": "833-247-9111",
"fax_number": "949-215-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25061 MACKENZIE ST",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535082",
"telephone_number": "844-247-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMPERADO",
"first_name": "OLIVAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-12",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "Y8507969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
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- Logan Anthony English
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- Leila Entezam
- Eric Cho D.D.S. a Professional Corporation
- Erik Pasin MD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.