Active NPI
Robert Anthony Olivares
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1649901596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 18624
- Practice address
- 3707 E Shields Ave
Fresno, CA 93726-7029 - Phone
- (559) 229-9040
- NPI assigned
- Jun 22, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18624 | CA | Primary |
Addresses
Primary practice location
3707 E Shields Ave
Fresno, CA 93726-7029
Mailing address
3433 W Shaw Ave
Fresno, CA 93711-3229
Phone (559) 558-4051
Other practice location 1
2747 N Redda Rd
Fresno, CA 93737-9619
Phone (559) 375-1413
Other practice location 2
7133 E Cornell Ave
Fresno, CA 93737-0048
Phone (559) 375-1149
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 |
|---|---|---|---|
| 18624 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1649901596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113229",
"telephone_number": "559-558-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 E SHIELDS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937267029",
"telephone_number": "559-229-9040"
}
],
"practiceLocations": [
{
"address_1": "2747 N Redda Rd",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937379619",
"country_code": "US",
"telephone_number": "559-375-1413",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7133 E Cornell Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937370048",
"country_code": "US",
"telephone_number": "559-375-1149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVARES",
"first_name": "ROBERT",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-22",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "18624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.