Oscar A Olate Fuentes

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

33991 Issued in CA

Practice address

117 W Tunnell St
Santa Maria, CA 93458-4096

Phone

(805) 614-4940

NPI assigned

Oct 18, 2021

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Santa Barbara County Auditor

  dba Santa Barbara County Public Health Department-Bridgehouse

  • Federally Qualified Health Center (FQHC)
  • Lompoc, CA
  • NPI 1649096249
  NPD (past)
• Transitions - Mental Health Association

  • Adult Mental Health Clinic/Center
  • Santa Maria, CA
  • NPI 1255549499
  NPD (past)

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1942963830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 LAGUNA AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546724",
            "telephone_number": "805-868-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W TUNNELL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584096",
            "telephone_number": "805-614-4940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2975 McMillan Ave Ste 164",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934016768",
            "country_code": "US",
            "telephone_number": "805-439-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLATE FUENTES",
        "first_name": "OSCAR",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-18",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "33991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jreyes@t-mha.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "117 W Tunnell St",
            "city": "Santa Maria",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934584096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Okerblom Voegele and Hole MD a Professional Corporation
• Scarlett Okerblom-Sincoff, PA-C
• John Phillip Okerblom, MD
• Robert Wayne Okerblom, M.D.
• William Allen Okerblom, M.D.
• Carly Oles, RD
• Kathryn Elena Oleskowicz
• Jose Luis Olguin
• Maureen Trexie Olivar, PHARMACIST
• Nyomi Lorraine Olivas

• Licensed Psychiatric Technician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.