Olive Branch Ranch Foundation

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

OLIVE BRANCH RANCH FOUNDATION

Practice address

164 Grace CT
Lemoore, CA 93245-2881

Phone

(559) 633-6039

Fax

(559) 633-6039

NPI assigned

Aug 28, 2026

Last updated

Aug 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather M Mallard, MALLARD

Title

President & Co-Founder

Phone

(559) 633-6039

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1942118443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 GRACE CT",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452881",
            "telephone_number": "559-633-6039",
            "fax_number": "559-633-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 GRACE CT",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452881",
            "telephone_number": "559-633-6039",
            "fax_number": "559-633-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH RANCH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "MALLARD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT & CO-FOUNDER",
        "authorized_official_telephone_number": "559-633-6039",
        "authorized_official_credential": "MALLARD"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth James Oakes, CRNA
• Gloria Marie Oakman
• Tamika J Obiefuna, RBT
• Laurie Ochoa, PHARMD
• John Thomas Oian, D.D.S.
• Ronald Lee Olson, CRNA
• Omar Sherif Younis Omar, DDS
• Lucila Ortiz-Barron, M.D.
• Efosa Clara Osunde
• Ricardo Sidonio Palmerin Sr.

• Supports Brokerage Agency in Lemoore, CA
• Providers in Lemoore, CA by specialty
• Supports Brokerage Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.