Organization Active NPI

Yuma Neurological Associates PLC

  • Internal Medicine Physician
  • Yuma, AZ
National Provider Identifier
1699950394
Registry record updated Jan 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37868 Issued in AZ
Legal business name
YUMA NEUROLOGICAL ASSOCIATES PLC
Practice address
2295 S Elks LN
Yuma, AZ 85364-6258
Phone
(928) 783-0092
Fax
(928) 782-1386
NPI assigned
Jan 1, 2008
Last updated
Jan 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2008

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

Authorized official

Name
Charles H Olivera, MD
Title
President
Phone
(928) 783-0092

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37868 AZ Primary
Pain Medicine Physician 208VP0000X 37868 AZ

Addresses

Primary practice location

2295 S Elks LN
Yuma, AZ 85364-6258

Mailing address

2295 S Elks LN
Yuma, AZ 85364-6258
Phone (928) 783-0092

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199145600000",
    "number": "1699950394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 S ELKS LN",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646258",
            "telephone_number": "928-783-0092",
            "fax_number": "928-782-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 S ELKS LN",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646258",
            "telephone_number": "928-783-0092",
            "fax_number": "928-782-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA NEUROLOGICAL ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-01",
        "last_updated": "2008-01-01",
        "status": "A",
        "authorized_official_last_name": "OLIVERA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-783-0092",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "37868",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "37868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2008; 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.