Organization Active NPI

Olivia Butt Medical Corporation

  • Obstetrics & Gynecology Physician
  • Alameda, CA
National Provider Identifier
1942595111
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A106483 Issued in CA
Legal business name
OLIVIA BUTT MEDICAL CORPORATION
Practice address
501 S Shore Ctr W Ste D
Alameda, CA 94501-5759
Phone
(510) 864-0660
Fax
(510) 864-0393
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Dr. Olivia Butt, M.D.NPI 1730320763
Title
President
Phone
(510) 864-0660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A106483 CA Primary

Addresses

Primary practice location

501 S Shore Ctr W Ste D
Alameda, CA 94501-5759

Mailing address

501 S Shore Ctr W Ste D
Alameda, CA 94501-5759
Phone (510) 864-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110906000090 CA Part B Supplier - Clinic/Group Practice 5698945467 Receives reassigned benefits from 1 practitioner
Practice locations: Alameda, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2127964Olivia Butt Medical Corporation501 South Shore Center Ste D, Alameda, CA 94501Certificate of waiverMar 21, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1942595111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SHORE CTR W STE D",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015759",
            "telephone_number": "510-864-0660",
            "fax_number": "510-864-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SHORE CTR W STE D",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015759",
            "telephone_number": "510-864-0660",
            "fax_number": "510-864-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA BUTT MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "BUTT",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-864-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A106483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.