OLIVEIRA MEDICAL INC (NPI# 1518076256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518076256 |
| Entity Type | Organization |
| Organization Name | OLIVEIRA MEDICAL INC |
| Practice Address |
506 W Graham Ave Ste 107 Lake Elsinore CA 92530 |
| Practice Telephone | 9514715116 |
| Practice Fax Number | 9514715226 |
| Mailing Telephone | 9514715116 |
| Mailing Fax Number | 9514715226 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS EDWARD OLIVEIRA (OWNER) |
| Authorized Official Telephone | 9514715116 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 20A7032 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX70320 | 05 |
| Street Address |
506 W GRAHAM AVE STE 107 |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790708345 | William Benjamin Thomas | Dentist | 506 W Graham Ave, Ste. 205, Lake Elsinore, CA 92530-3666 | 2006-07-25 |
| 1831717156 | Austin Ebner | Physician Assistant | 506 W Graham Ave, Lake Elsinore, CA 92530-3666 | 2020-07-13 |
| 1124291828 | Thomas Edward Oliveira | General Practice | 506 W Graham Ave, Suite 107, Lake Elsinore, CA 92530-3666 | 2008-04-02 |
| 1275677650 | Hamid Sabet | Chiropractor | 506 W Graham Ave, #101, Lake Elsinore, CA 92530-3666 | 2007-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
| 1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
| 1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
| 1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
| 1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
| 1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
| 1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
| Find all providers in zip 92530 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1417578790 | Inland Empire Medical Group, Inc | General Practice | 506 W Graham Ave Ste 107, Lake Elsinore, CA 92530-3665 | 2020-04-28 |
| 1023311651 | Family Health Care of Southern California | General Practice | 31571 Canyon Estates Dr, Suite 225, Lake Elsinore, CA 92532-0471 | 2010-12-21 |
| 1538499470 | Shafi Ullah Siddiqi | General Practice | 425 Diamond Dr, Ste 102, Lake Elsinore, CA 92530-4495 | 2009-12-27 |
| 1124291828 | Thomas Edward Oliveira | General Practice | 506 W Graham Ave, Suite 107, Lake Elsinore, CA 92530-3666 | 2008-04-02 |
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| 1851913917 | St Bishoy Medical Group | General Practice | 8545 Saturn St Apt 103, Los Angeles, CA 90035-3658 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ELSINORE |
| Zip Code | 92530 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.