Evelyn Olivas, PROBATION OFFICER

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4849 Civic Center Way
Los Angeles, CA 90022-1679

Phone

(323) 780-2125

Fax

(323) 262-8412

NPI assigned

Jun 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1922268622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 IMPERIAL HWY RM P-31",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422835",
            "telephone_number": "562-940-3694",
            "fax_number": "562-658-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 CIVIC CENTER WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221679",
            "telephone_number": "323-780-2125",
            "fax_number": "323-262-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAS",
        "first_name": "EVELYN",
        "name_prefix": "Miss",
        "credential": "PROBATION OFFICER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROBATION DEPARTMENT",
            "identifier": "171M00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle P. Olivares, CRNA
• Monica Olivares
• Natalie Jasmin Olivares, MS, AMFT
• Tiffany Olivares, LCSW
• Linet Olivarez, LCSW
• Ruben Raymundo Olivas
• Olive Branch Family Therapy
• Olive Branch Pharmacy
• Olive Branch Pharmacy
• Olive Branch Pharmacy Inc

• Case Manager/Care Coordinator in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.