Silver Oak Medical Office Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G85223 Issued in CA

Legal business name

SILVER OAK MEDICAL OFFICE INC

Practice address

702 Mountain Ranch Rd
San Andreas, CA 95249

Phone

(209) 754-0870

Fax

(209) 754-0878

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Peter Forrest Oliver, MDNPI 1609812965

Title

MD President

Phone

(209) 754-0870

Specialties & licenses 4

Addresses

Practitioners 2

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.

• Peter Forrest Oliver, MD

  • Surgery Physician
  • San Andreas, CA
  • NPI 1609812965
  Authorized official Same address or phone
• Gail Leanne Watkins, P.A.-C

  • Physician Assistant
  • Bieber, CA
  • NPI 1245563816
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1730125121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "95249",
            "telephone_number": "209-754-0870",
            "fax_number": "209-754-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 MOUNTAIN RANCH RD",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "95249",
            "telephone_number": "209-754-0870",
            "fax_number": "209-754-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER OAK MEDICAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "FORREST",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "209-754-0870",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G80069",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G66157",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G65894",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G85223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Andreas SNF Operations LLC (Golden San Andreas Care Center)
• Rebecca Schimp, LPCC
• Arnetta Scott
• Shannon M Linton MD Inc
• Sierra Child & Family Services
• Stephanie Silvia
• Carole Lynn Smith
• Wendy Lynne Smith, PHD
• Tiffany Souza, B.A.
• Stacy Elias Doula

• Surgery Physician in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.