Individual provider Active NPI

Alcides Antonio De Oliveira, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Orange, CA
National Provider Identifier
1760626675
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17935 Issued in CA
Practice address
229 S Glassell St
Orange, CA 92866-1945
Phone
(714) 997-2899
Fax
(714) 639-3708
NPI assigned
Apr 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17935 CA Primary

Addresses

Primary practice location

229 S Glassell St
Orange, CA 92866-1945

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522001265 CA Practitioner - Nurse Practitioner 1557703535 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17935CAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saddleback Medical Group Inc CurrentSince Apr 8, 2024 Accepting new patients
Osher Resources Inc CurrentSince Jul 1, 2024 Accepting new patients
Beaver Medical Group P C CurrentSince Apr 8, 2024 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Apr 8, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Apr 8, 2024 Accepting new patients
Orange Family Medicine Inc CurrentSince Apr 21, 2024 Accepting new patients
Beaver Medical Group P C CurrentSince Apr 8, 2024 Accepting new patients
Centers for Family Medicine GP CurrentSince Apr 8, 2024 Accepting new patients

Locations

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

81 Highland Springs Ave
Ste 200
Beaumont, CA 92223
Phone (909) 389-1302

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

13357 South St
Cerritos, CA 90703
Phone (562) 379-8000

24221 Calle de la Louisa
Ste 300
Laguna Hills, CA 92653
Phone (949) 334-8270

24221 Calle de la Louisa
Ste 200
Laguna Hills, CA 92653
Phone (949) 465-8155

24221 Calle de la Louisa
Ste 400
Laguna Hills, CA 92653
Phone (949) 465-8155

24331 El Toro Rd
Ste 330
Laguna Woods, CA 92637
Phone (949) 707-1807

4910 Airport Plaza Dr
Ste 210
Long Beach, CA 90815
Phone (562) 421-3727

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090

229 S Glassell St
Orange, CA 92866
Phone (714) 639-0303

500 S Main St
Ste 101
Orange, CA 92868
Phone (714) 602-7805

245 Terracina Blvd
Ste 105
Redlands, CA 92373
Phone (909) 335-4102

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

245 Terracina Blvd
Ste 102
Redlands, CA 92373
Phone (909) 406-2671

1198 Pacific Coast Hwy
Ste I
Seal Beach, CA 90740
Phone (562) 799-7071

13930 Seal Beach Blvd
Seal Beach, CA 90740
Phone (562) 430-8888

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: alcides.de.oliveira.1@17371.direct.athenahealth.com
  • Direct secure messaging: alcides.deoliviera.p7@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 9

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": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1760626675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S GLASSELL ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661945",
            "telephone_number": "714-997-2899",
            "fax_number": "714-639-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE OLIVEIRA",
        "first_name": "ALCIDES",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.