Individual provider Active NPI

Jesse Oliver, NP-C

  • Family Nurse Practitioner
  • Arcata, CA
National Provider Identifier
1821446915
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004380 Issued in CA
Practice address
1150 Foster Ave
Arcata, CA 95521-5986
Phone
(707) 826-8610
Fax
(707) 826-8623
NPI assigned
May 30, 2016
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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 95004380 CA Primary

Addresses

Primary practice location

1150 Foster Ave
Arcata, CA 95521-5986

Mailing address

704 Lebec Rd
Lebec, CA 93243-4049
Phone (661) 248-5250

Other practice location 1

805 E Mountain View St
Barstow, CA 92311-3033
Phone (760) 255-9000

Other practice location 2

704 Lebec Road
Lebec, CA 93243
Phone (661) 248-5279

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
I20170105001058 CA Practitioner - Nurse Practitioner 2163703125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1305 Bear Mountain Blvd
Arvin, CA 93203-1231
Phone (661) 854-3131

704 Lebec Rd
Lebec, CA 93243-1375
Phone (661) 248-5250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Dec 16, 2020 Accepting new patients
Clinica Sierra Vista CurrentSince Dec 16, 2020 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

1430 Truxtun Ave
Ste 400
Bakersfield, CA 93301
Phone 6616353050 ext. 2148

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1821446915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 LEBEC RD",
            "city": "LEBEC",
            "state": "CA",
            "postal_code": "932434049",
            "telephone_number": "661-248-5250",
            "fax_number": "661-248-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 FOSTER AVE",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215986",
            "telephone_number": "707-826-8610",
            "fax_number": "707-826-8623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 E Mountain View St",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923113033",
            "country_code": "US",
            "telephone_number": "760-255-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 Lebec Road",
            "address_purpose": "LOCATION",
            "city": "Lebec",
            "state": "CA",
            "postal_code": "93243",
            "country_code": "US",
            "telephone_number": "661-248-5279",
            "fax_number": "661-248-5279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JESSE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-30",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.