Organization Active NPI

Oversight Telemedicine Physicians - California PC

  • Neurology Physician
  • Olympia, WA
National Provider Identifier
1952035941
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
OVERSIGHT TELEMEDICINE PHYSICIANS - CALIFORNIA PC
Practice address
9333 Martin Way East
Ste 214
Olympia, WA 98516-5969
Phone
(360) 539-8487
Fax
(360) 358-9944
NPI assigned
Jul 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Joseph J Jares III, MD
Title
Cfo
Phone
(360) 539-8487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

9333 Martin Way East
Ste 214
Olympia, WA 98516-5969

Mailing address

9333 Martin Way East
Ste 214
Olympia, WA 98516-5969
Phone (360) 539-8487

Other names 1

  • OTP - California, PC Other name

National Provider Directory

National Provider Directory

Locations

7801 Folsom Blvd
Ste 202
Sacramento, CA 95826
Phone (360) 539-8487

9333 Martin Way E
Ste 214
Olympia, WA 98516
Phone (360) 539-8487

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1952035941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 MARTIN WAY EAST",
            "address_2": "STE 214",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165969",
            "telephone_number": "360-539-8487",
            "fax_number": "360-358-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 MARTIN WAY EAST",
            "address_2": "STE 214",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165969",
            "telephone_number": "360-539-8487",
            "fax_number": "360-358-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERSIGHT TELEMEDICINE PHYSICIANS - CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "JARES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "360-539-8487",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OTP - California, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.