OLIVIA TIRADO (NPI# 1962703504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962703504 |
| Entity Type | Individual |
| Full Name | OLIVIA TIRADO |
| Other Name | OLIVIA ALVARENGA |
| Credential | PA |
| Practice Address |
1668 Dominican Way Santa Cruz CA 95065-1522 |
| Practice Telephone | 8314649962 |
| Mailing Telephone | 8314649962 |
| Enumeration Date | 2010-11-13 |
| Last Update Date | 2011-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | PA21265 | CA | Allopathic & Osteopathic Physicians |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA21265 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1668 DOMINICAN WAY |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003985037 | Surgical Associates of Monterey Bay Medical Corporation | Surgery | 1668 Dominican Way, Santa Cruz, CA 95065-1522 | 2006-11-06 |
| 1841676467 | Monika C Lin | Physician Assistant | 1668 Dominican Way, Santa Cruz, CA 95065-1522 | 2015-08-05 |
| 1083024467 | Tracy Morey Mariani Smythe | Physician Assistant | 1668 Dominican Way, Santa Cruz, CA 95065-1522 | 2014-05-06 |
| 1184911968 | Paul Nguyen | Surgery | 1668 Dominican Way, Santa Cruz, CA 95065-1522 | 2011-06-30 |
| 1033359211 | Jessica Santillano | Surgery | 1668 Dominican Way, Santa Cruz, CA 95065-1522 | 2009-02-27 |
| 1093972192 | Louis Choong Lee | Surgery | 1668 Dominican Way, Santa Cruz, CA 95065-1522 | 2008-05-18 |
| 1215001359 | Brian Waddle | Surgery | 1668 Dominican Way, Santa Cruz, CA 95065-1522 | 2006-11-20 |
| 1063581098 | Lawrence J. Spingola | Surgery | 1668 Dominican Way, Santa Cruz, CA 95065-1522 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
| 1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
| 1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
| 1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
| 1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
| 1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
| 1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
| Find all providers in zip 95065 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841676467 | Monika C Lin | Physician Assistant | 1668 Dominican Way, Santa Cruz, CA 95065-1522 | 2015-08-05 |
| 1720472616 | Ryan J Schmitt | Physician Assistant | 1575 Soquel Dr, Suite C, Santa Cruz, CA 95065-1700 | 2015-03-27 |
| 1083024467 | Tracy Morey Mariani Smythe | Physician Assistant | 1668 Dominican Way, Santa Cruz, CA 95065-1522 | 2014-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95065 |
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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.