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OLIVER CERVANTES
NPI 1164043170
Pediatrics in San Francisco, CA

Active since April 30, 2020PECOS Enrolled
1001 POTRERO AVE. BLDG. 5, #6M, SAN FRANCISCO, CA 94110(628) 206-8376(628) 206-7506 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Apr 5, 2022 (2 updates tracked since 2022).

About Oliver Cervantes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVER CERVANTES (NPI 1164043170) is an individual pediatrics provider in San Francisco, California, licensed in California (A189854) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, San Francisco School Of Medicine (2022).

NPPES Registry Identity

NPI1164043170
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameOLIVER CERVANTES
Location Address1001 POTRERO AVE. BLDG. 5, #6MSan Francisco, CA 94110
Mailing Address1450 6th AveSan Francisco, CA 94122-3811 · (973) 452-5654
Phone(628) 206-8376
Fax(628) 206-7506
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2022
Enumeration DateApril 30, 2020
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1164043170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A189854
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Secondary Practice Locations 2

Location 11450 6th AveSan Francisco, CA 94122-3811 · Phone (973) 452-5654
Location 2550 6th Ave Fl 4San Francisco, CA 94118-3817 · Phone (973) 452-5654

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oliver Cervantes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507395969
PECOS Enrollment IDI20250702004165
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH GU MD
Pediatrics
1001 POTRERO AVE. BLDG. 5, #6M
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-8361
SRUTI PISHARODY MD
Pediatrics
1001 POTRERO AVE. BLDG. 5, #6M
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-8361
DR. CHRIS LONDON CARPENTER M.D.
Pediatrics
1001 POTRERO AVE. BLDG. 5, #6M
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-8361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oliver Cervantes's NPI number?

The NPI number for Oliver Cervantes is 1164043170. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Oliver Cervantes located?

Oliver Cervantes practices at 1001 Potrero Ave. Bldg. 5, #6m, San Francisco, CA 94110. The listed phone number is (628) 206-8376.

What is Oliver Cervantes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Oliver Cervantes enrolled in Medicare?

Yes. Oliver Cervantes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oliver Cervantes was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.