Individual provider Active NPI

Otra Lee Olver, D.C.

  • Chiropractor
  • Rancho Palos Verdes, CA
National Provider Identifier
1700214061
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32575 Issued in CA
Practice address
29050 S Western Ave Ste 153
Rancho Palos Verdes, CA 90275-0821
Phone
(310) 519-8877
NPI assigned
Oct 24, 2013
Last updated
Oct 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32575 CA Primary

Addresses

Primary practice location

29050 S Western Ave Ste 153
Rancho Palos Verdes, CA 90275-0821

Mailing address

501 E Katella Ave Apt 4D
Orange, CA 92867-4906
Phone (408) 202-9796

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
32575CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
James G Schoch DC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1700214061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E KATELLA AVE APT 4D",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674906",
            "telephone_number": "408-202-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29050 S WESTERN AVE STE 153",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750821",
            "telephone_number": "310-519-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLVER",
        "first_name": "OTRA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.