Active NPI
Olivia Aurora Galvan, MD
- Family Medicine Physician
- Corona, CA
National Provider Identifier
1871555359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G61365
- Practice address
- 800 Magnolia Ave
Suite 114
Corona, CA 92879-3123 - Phone
- (951) 808-9909
- Fax
- (951) 808-9939
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G61365 | CA | Primary |
Addresses
Primary practice location
800 Magnolia Ave
Suite 114
Corona, CA 92879-3123
Mailing address
387 Magnolia Ave
Suite 103 PMB 338
Corona, CA 92879-3307
Phone (951) 808-9909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G61365 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luis Perez, M.D., a Professional Corporation | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Pomona, CA
- NPI 1053343509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1871555359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 MAGNOLIA AVE",
"address_2": "SUITE 103 PMB 338",
"city": "CORONA",
"state": "CA",
"postal_code": "928793307",
"telephone_number": "951-808-9909",
"fax_number": "951-808-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MAGNOLIA AVE",
"address_2": "SUITE 114",
"city": "CORONA",
"state": "CA",
"postal_code": "928793123",
"telephone_number": "951-808-9909",
"fax_number": "951-808-9939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVAN",
"first_name": "OLIVIA",
"middle_name": "AURORA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G61365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.