Individual provider Active NPI

Andrea M Oliveau, D.C.

  • Chiropractor
  • Lancaster, CA
National Provider Identifier
1649339904
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28582 Issued in CA
Practice address
44725 10TH St W
Suite 270
Lancaster, CA 93534-3033
Phone
(661) 945-4440
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28582 CA Primary

Addresses

Primary practice location

44725 10TH St W
Suite 270
Lancaster, CA 93534-3033

Mailing address

520 N Ventu Park Rd Ste 130
Thousand Oaks, CA 91320-2708
Phone (818) 661-6369

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC28582CAMDChiropractor
28582CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1649339904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N VENTU PARK RD STE 130",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202708",
            "telephone_number": "818-661-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44725 10TH ST W",
            "address_2": "SUITE 270",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343033",
            "telephone_number": "661-945-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEAU",
        "first_name": "ANDREA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.