Mario Olivares II

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1430 Freedom Blvd Ste F
Watsonville, CA 95076-2752

Phone

(831) 763-8245

Fax

(831) 763-8282

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• South County Mental Health

  • Adult Mental Health Clinic/Center
  • Watsonville, CA
  • NPI 1801930920
  NPD
• County of Santa Cruz

  • Clinic/Center
  • Santa Cruz, CA
  • NPI 1659315430
  NPD (past)
• County of Santa Cruz

  • Federally Qualified Health Center (FQHC)
  • Watsonville, CA
  • NPI 1770709149
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1609071430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 FREEDOM BLVD STE F",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762752",
            "telephone_number": "831-763-8245",
            "fax_number": "831-763-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 FREEDOM BLVD STE F",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762752",
            "telephone_number": "831-763-8245",
            "fax_number": "831-763-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "MARIO",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rio Ochoa
• Irene Oconnell
• Nisan Oconnor
• Kiyoko Okuhama, PTA
• Kris Okumu, MD
• Madilynn Irene Oliveira
• Maryellen M Olson, LCSW
• Krischel Tan Ongbongan, N.P.
• Angelina Andrea Ornelaz
• Angel Ivan Orozco Gonzalez, DC

• Rehabilitation Practitioner in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.