Abigail Rosana Olivares

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

4421 W Riverside Dr Ste 102
Burbank, CA 91505-4051

Phone

(747) 257-0301

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1881153856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 W RIVERSIDE DR STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 W RIVERSIDE DR STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054051",
            "telephone_number": "747-257-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "ABIGAIL",
        "middle_name": "ROSANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meray Ohanessian, M.D.
• Anahid Lily Ohanian
• Geoffrey Toshio Okada, D.D.S., M.S.
• Helen Okoh, M.D
• Gwendolyn Olicker, OTR/L
• Mark Vincent Olivarez, MSN FNP
• Risa Quinto Olivarez, RN
• Olive Avenue Medical Pharmacy Inc
• Olive Crest Treatment Ctr.
• Olive Health Medical Group Inc

• Marriage & Family Therapist in Burbank, CA
• Providers in Burbank, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; 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.