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OLIVERIO MEDICAL GROUP NPI 1578618088


NPI Information

NPI: 1578618088
Provider Name: OLIVERIO MEDICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1100550

Address:
330 W RAMSEY ST
BANNING, CA
ZIP 92220
Phone: (951) 849-1950
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OLIVERIO MEDICAL GROUP is a family medicine in Banning, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OLIVERIO MEDICAL GROUP NPI is 1578618088. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

330 W RAMSEY ST
BANNING, CA
ZIP 92220-823
Phone: (951) 849-1950
Fax: (951) 849-0080

The provider's authorized official is Joy M Oliverio .
The authorized official title is Administrator and has the following contact phone number (951) 849-1950.

The CLIA number assigned to this NPI record is 05D1100550 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 9/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine00A332270CALIFORNIANo
2207Q00000XFamily Medicine00A450420CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0057980MEDICAIDCALIFORNIA
2A27080MEDICARE UPINCALIFORNIA
3A03196MEDICARE UPINCALIFORNIA
4ZZZ33480ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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