Jacob Jeremiah Olivas, is a
Rehabilitation Practitioner based in Riverside, California. Jacob Jeremiah Olivas is licensed to practice in * (Not Available) (license number ) and his current practice location is
1405 Spruce St, Suite A, Riverside, California. He can be reached at his office (for appointments etc.) via phone at
(951) 715-5040.
NPI number for Jacob Jeremiah Olivas is 1750800579 and his current mailing address is 3625 14th St, Riverside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750800579.
Healthcare Provider's Profile
| Full Name | Jacob Jeremiah Olivas |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 1405 Spruce St, Riverside, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750800579
- Provider Enumeration Date: 09/13/2017
- Last Update Date: 03/24/2025
Medical Identifiers
Medical identifiers for Jacob Jeremiah Olivas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750800579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Jeremiah Olivas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacob Jeremiah Olivas,
3625 14th St,
Riverside, CA 92501-3815
Ph: (951) 955-1540 | Jacob Jeremiah Olivas,
1405 Spruce St, Suite A,
Riverside, CA 92507-2410
Ph: (951) 715-5040 |
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