Oliver Tagamolila Rago, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95008586 Issued in CA

Practice address

1218 W Olive Ave
Burbank, CA 91506-2216

Phone

(818) 845-2255

Fax

(818) 845-2828

NPI assigned

Feb 14, 2018

Last updated

Nov 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Badr Medical CorporationGroup PAC ID 4183855083, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Badr Medical Corporation

  • Neurological Surgery Physician
  • Glendale, CA
  • NPI 1871920652

  Single Specialty

  Medicare reassignment Care Compare group NPD
• F Al Faisal MD Inc

  • Neurology Physician
  • Burbank, CA
  • NPI 1649373622

  Single Specialty

  Medicare reassignment NPD
• Dignity Health

  dba Mercy Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  dba Glendale Memorial Hospital and Health Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation
• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1720588908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41926",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900410926",
            "telephone_number": "323-352-3000",
            "fax_number": "323-352-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062216",
            "telephone_number": "818-845-2255",
            "fax_number": "818-845-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGO",
        "first_name": "OLIVER",
        "middle_name": "TAGAMOLILA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95008586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith L Radack, DR.
• Rafael Home Care
• Rafael Stein Inc (Burbank Tower Pharmacy)
• Raffi Margossian, D.D.S., M.S.D., Inc.
• Rafik Meserkhani & Yvette M Gulesserian D.D.S Inc.
• Keonna Raguini
• Rahim Shapoory M.D. Inc.
• Fariha Rahman
• Molly Elizabeth Rajewski
• Ralphs Grocery Company

• Acute Care Nurse Practitioner in Burbank, CA
• Providers in Burbank, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.