Oliverio Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00A450420 Issued in CA

Legal business name

OLIVERIO MEDICAL GROUP

Practice address

330 W Ramsey St
Banning, CA 92220-4823

Phone

(951) 849-1950

Fax

(951) 849-0080

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Joy M Oliverio

Title

Administrator

Phone

(951) 849-1950

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1578618088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204823",
            "telephone_number": "951-849-1950",
            "fax_number": "951-849-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204823",
            "telephone_number": "951-849-1950",
            "fax_number": "951-849-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVERIO MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "OLIVERIO",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-849-1950"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "00A450420",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A332270",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0057980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Batool Obeidat
• Miguel Obregon III
• Yajaira Oceguera-Rocha
• Michael Nicholas Oktay
• Oliverio Medical Corporation
• Michael Raymund Oliverio Jr., M.D.
• Ryan Michael Oliverio, DO,MS
• Ha Quyen Thi Ong, PHARM.D
• Alma Rosa Ontiveros
• Stephanie Marie Ooley

• Family Medicine Physician in Banning, CA
• Providers in Banning, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.