MR. MARIO OLMOS (NPI# 1710484662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710484662 |
| Entity Type | Individual |
| Full Name | MR. MARIO OLMOS |
| Credential | M.S. L.AC |
| Practice Address |
1155 13th St Imperial Beach CA 91932-3608 |
| Mailing Address |
811 Corvina St Imperial Beach CA 91932-2003 |
| Practice Telephone | 6199378832 |
| Mailing Telephone | 6199378832 |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2018-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 10016 | CA | Other Service Providers |
| Street Address |
1155 13TH ST |
| City | IMPERIAL BEACH |
| State | CA |
| Zip Code | 91932-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588119085 | Angela Rose Andrews | Physical Therapist | 1155 13th St, Imperial Beach, CA 91932-3608 | 2016-08-25 |
| 1790331627 | Patrick Swank | Physical Therapist | 1155 13th St, Imperial Beach, CA 91932-3608 | 2019-08-15 |
| 1447723937 | Andrew Novencido | Physical Therapist | 1155 13th St, Imperial Beach, CA 91932-3608 | 2019-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962994525 | Seacoast Behavior, LLC | Behavioral Analyst | 536 Shorebird Way, Imperial Beach, CA 91932 | 2018-05-30 |
| 1508363391 | M Mallempalli Professional Dental Corporation | Dentist | 600 Palm Ave., Suite#116, Imperial Beach, CA 91932 | 2018-04-09 |
| 1013440502 | Marice Angelic Dominguez | Respiratory Therapist, Registered | 1021 Elder Ave, Imperial Beach, CA 91932 | 2017-04-11 |
| 1003277856 | Samuel Wood | Registered Nurse | 803 Grove Ave, Imperial Beach, CA 91932 | 2016-03-08 |
| 1992033427 | Kathleen Helen Austin | Registered Nurse | 785 8th St, Imperial Beach, CA 91932 | 2009-11-20 |
| 1538365549 | Dorothy Mae Rumsey | Marriage & Family Therapist | 1237 East Lane, Imperial Beach, CA 91932 | 2007-06-26 |
| 1427062918 | Vernon Greg Phillips | Family Medicine | 707 Palm Ave, Imperial Beach, CA 91932 | 2006-07-28 |
| 1164489662 | Ralph Edwin Tuttle | Family Medicine | Comncwgruone, Nolf Ib Bldg 184, San Diego, CA 91932 | 2006-04-27 |
| 1154306231 | Solara Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 720 Hwy 75, Imperial Beach, CA 91932 | 2005-12-12 |
| 1720283211 | Fabiola Del Aguila | Psychologist | 949 Palm Ave, Imperial Beach, CA 91932 | 2007-06-15 |
| Find all providers in zip 91932 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649724980 | Kimberly Drolet | Acupuncturist | 339 Imperial Beach Blvd Apt E, Imperial Beach, CA 91932-2631 | 2016-08-03 |
| 1316318272 | Peter Lecke | Acupuncturist | 1357 Elder Ave Apt 38, Imperial Beach, CA 91932-3041 | 2015-10-16 |
| 1447356613 | Robert Bruce Stewart | Acupuncturist | 600 Palm Ave Ste 112, Imperial Beach, CA 91932-1245 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497557 | Golden Yung | Acupuncturist | 155 E 5th Ave, San Mateo, CA 94401-4108 | 2020-11-07 |
| 1316548951 | Sooyeon Yoon | Acupuncturist | 18765 Colima Rd, Rowland Heights, CA 91748-2949 | 2020-11-02 |
| 1497356083 | Pyung Doo Nam | Acupuncturist | 7097 Alvern St Apt D212, Los Angeles, CA 90045-1867 | 2020-11-02 |
| 1114528742 | Tao of Medicine Inc. | Acupuncturist | 2901 Wilshire Blvd Ste 335, Santa Monica, CA 90403-4930 | 2020-11-02 |
| 1518567643 | Jewel In The Lotus Healing | Acupuncturist | 1828 Felton St, San Diego, CA 92102-1230 | 2020-10-28 |
| 1700486784 | Srotas | Acupuncturist | 14758 Beach Blvd, La Mirada, CA 90638-4250 | 2020-10-28 |
| 1134728603 | Philip Reh | Acupuncturist | 451 Indian Springs Rd., Novato, CA 94947-4238 | 2020-10-25 |
| 1417556051 | Sharon Chen | Acupuncturist | 2440 S Hacienda Blvd Ste 231, Hacienda Heights, CA 91745-4774 | 2020-10-24 |
| 1609475078 | Marysa Kavalec | Acupuncturist | 2302 Oak St Apt 3, Santa Monica, CA 90405-5130 | 2020-10-18 |
| 1336747344 | Xiao Yan Liu | Acupuncturist | 16790 Ventry Way, San Lorenzo, CA 94580-1244 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | IMPERIAL BEACH |
| Zip Code | 91932 |
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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.