Individual provider Active NPI

Olivia Grace Low

  • Pediatrics Physician
  • Oxnard, CA
National Provider Identifier
1730685397
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A164753 Issued in CA
Practice address
1100 W Gonzales Rd
Oxnard, CA 93036-3336
Phone
(805) 988-0053
Fax
(805) 988-0554
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A164753 CA Primary

Addresses

Primary practice location

1100 W Gonzales Rd
Oxnard, CA 93036-3336

Mailing address

1040 Flynn Rd
Camarillo, CA 93012-5092
Phone (805) 673-3930

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630003999 CA Practitioner - Pediatric Medicine 1658793013 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A164753CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Camino Real Inc CurrentSince Jan 22, 2024 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jun 25, 2021 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 25, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 25, 2021 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jun 25, 2021 Accepting new patients
University of California San Francisco CurrentSince Jun 25, 2021 Accepting new patients
Clinicas del Camino Real Inc Current Accepting new patients
Clinicas del Camino Real Inc CurrentSince Jan 22, 2024 Accepting new patients
Clinicas del Camino Real Inc PastSince Nov 19, 2023 Accepting new patients
Clinicas del Camino Real Inc PastSince Nov 19, 2023 Accepting new patients

Locations

1100 W Gonzales Rd
Oxnard, CA 93036
Phone (805) 988-0053

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

550 16th St
#110
San Francisco, CA 94158
Phone (415) 502-2971

550 16th St
#4551
San Francisco, CA 94143

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

Interoperability endpoints

  • Direct secure messaging: olivia.low.p1@direct.clinicas.nextgenshare.com
  • Direct secure messaging: olow802630@direct.ochin.org

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1730685397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FLYNN RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125092",
            "telephone_number": "805-673-3930",
            "fax_number": "805-659-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W GONZALES RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930363336",
            "telephone_number": "805-988-0053",
            "fax_number": "805-988-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOW",
        "first_name": "OLIVIA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A164753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.