Individual provider Active NPI

Michael Olado

  • Registered Nurse
  • San Luis Obispo, CA
National Provider Identifier
1598480741
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
709189 Issued in CA
Practice address
735 Tank Farm Rd Ste 140
San Luis Obispo, CA 93401-7061
Phone
(805) 489-7276
Fax
(866) 250-8915
NPI assigned
Oct 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 709189 CA Primary

Addresses

Primary practice location

735 Tank Farm Rd Ste 140
San Luis Obispo, CA 93401-7061

Mailing address

2674 3Rd St
La Verne, CA 91750-5019
Phone (909) 774-9830

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

LicenseStateTypeSpecialty
709189CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1598480741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2674 3RD ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505019",
            "telephone_number": "909-774-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 TANK FARM RD STE 140",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017061",
            "telephone_number": "805-489-7276",
            "fax_number": "866-250-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADO",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "709189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.