NPIMap

Organization Active NPI

Olivia a. Galvan, MD Inc

  • Family Medicine Physician
  • Corona, CA
National Provider Identifier
1720255227
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G61365 Issued in CA
Legal business name
OLIVIA A. GALVAN, MD INC
Practice address
800 Magnolia Ave
Suite 114
Corona, CA 92879-3123
Phone
(951) 808-9909
Fax
(951) 808-9939
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Dr. Olivia Aurora Galvan, M.D.NPI 1871555359
Title
President
Phone
(951) 808-9909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G61365 CA Primary

Addresses

Primary practice location

800 Magnolia Ave
Suite 114
Corona, CA 92879-3123

Mailing address

387 Magnolia Ave
Siote 103 PMB 338
Corona, CA 92879-3307
Phone (951) 808-9909

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1720255227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 MAGNOLIA AVE",
            "address_2": "SIOTE 103 PMB 338",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793307",
            "telephone_number": "951-808-9909",
            "fax_number": "951-808-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAGNOLIA AVE",
            "address_2": "SUITE 114",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793123",
            "telephone_number": "951-808-9909",
            "fax_number": "951-808-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA A. GALVAN, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "AURORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-808-9909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G61365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.