JACOB JEREMIAH OLIVAS (NPI# 1750800579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750800579 |
| Entity Type | Individual |
| Full Name | JACOB JEREMIAH OLIVAS |
| Practice Address |
1405 Spruce St Suite A Riverside CA 92507-2410 |
| Mailing Address |
1405 Spruce St Ste A Riverside CA 92507-2410 |
| Practice Telephone | 9517155040 |
| Mailing Telephone | 9517155040 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers |
| Street Address |
1405 SPRUCE ST SUITE A |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912086448 | Eduard Semenov | Marriage & Family Therapist | 1405 Spruce St, Riverside, CA 92507-2464 | 2006-11-03 |
| 1659989580 | Gabriele Barragan | Counselor | 1405 Spruce St, Riverside, CA 92507-2464 | 2020-07-16 |
| 1023633583 | Vanessa Henrietta Joswick | Case Manager/Care Coordinator | 1405 Spruce St, Riverside, CA 92507-2464 | 2020-06-10 |
| 1174160188 | Joe Huerta | Social Worker | 1405 Spruce St, Riverside, CA 92507-2464 | 2019-12-09 |
| 1275179038 | Jose Guillermo Lechuga | Counselor | 1405 Spruce St, Riverside, CA 92507-2464 | 2019-11-26 |
| 1215571757 | Ernest Wenseslao Garavito | Case Manager/Care Coordinator | 1405 Spruce St, Riverside, CA 92507 | 2019-10-28 |
| 1790340982 | Robert Lozano Jr. | Behavioral Analyst | 1405 Spruce St, Riverside, CA 92507-2464 | 2019-05-03 |
| 1114581055 | Kelly Stephanie Perez | Social Worker | 1405 Spruce St, Riverside, CA 92507-2464 | 2019-04-25 |
| 1477046050 | Michelle Galvez | Case Manager/Care Coordinator | 1405 Spruce St, Riverside, CA 92507-2464 | 2018-06-08 |
| 1770094146 | Mariana Alcala Mayorga | Behavioral Analyst | 1405 Spruce St, Riverside, CA 92507-2464 | 2017-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1023638541 | Sarah Davidson-amici | Counselor | 2167 Buckskin Pl, Riverside, CA 92506-4608 | 2020-04-24 |
| 1790311470 | Melanie S David | Counselor | 11498 Pierce St Ste A&b, Riverside, CA 92505-3357 | 2020-03-13 |
| 1548890155 | Taylor Jean Robitzer I | Counselor | 16435 Trisha Way, Riverside, CA 92504-5731 | 2020-01-23 |
| 1043854714 | Marie Apke | Counselor | 493 Uvedale Rd, Riverside, IL 60546-1608 | 2019-11-05 |
| 1851934954 | Community Access Network | Counselor | 16542 Tava Ln, Riverside, CA 92504-5833 | 2019-10-21 |
| 1124661236 | Community Access Network | Counselor | 10631 Orchard View Ln, Riverside, CA 92503-6605 | 2019-10-21 |
| 1518519503 | Erica Elissa Sierra | Counselor | 2085 Rustin Ave Ofc 2157, Riverside, CA 92507-2498 | 2019-07-10 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1518445725 | Ryan Gregory Galippo | Counselor | 1625 14th Street, Riverside, CA 92513-7549 | 2018-07-31 |
| Find all providers in RIVERSIDE | ||||
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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.