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OLIVE TREE WELLNESS CENTER, INC
NPI 1295997419
Family Medicine in Merced, CA

Active since June 29, 2008CLIA 05D1046549 · Waiver
1146 OLIVEWOOD DR, MERCED, CA 95348(209) 723-0019(415) 946-3489 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olive Tree Wellness Center, Inc NPPES

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

OLIVE TREE WELLNESS CENTER, INC (NPI 1295997419) is a healthcare organization registered as a family medicine in Merced, California and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Pamela Roussos, Owner, as its authorized official.

NPPES Registry Identity

NPI1295997419
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOLIVE TREE WELLNESS CENTER, INC
Location Address1146 OLIVEWOOD DRMerced, CA 95348-1210
Mailing AddressPo Box 2718Merced, CA 95344-0718 · (209) 723-0019 · Fax (415) 946-3489
Phone(209) 723-0019
Fax(415) 946-3489
Organization SubpartNo
Authorized OfficialPamela RoussosOwner · (209) 723-0019
Enumeration DateJune 29, 2008
Last NPPES UpdateApril 2, 2012
✔ NPI 1295997419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A8409
Definition
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.
1146 OLIVEWOOD DR, Merced, CA 95348
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Other Identifiers 1

Medicare PINCM909ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1046549

Olive Tree Wellness Center, Inc · Merced, CA
Active · expires Oct 11, 2027
CLIA Number05D1046549
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorPam Roussos, Do
Laboratory Phone(209) 723-0019
Laboratory LocationOlive Tree Wellness Center, Inc1146 Olivewood Dr, Merced, CA 95348
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. PAMELA ROUSSOS DO
Family Medicine
1146 OLIVEWOOD DR
MERCED, CA 95348
Merced County (209) 723-0019

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 Olive Tree Wellness Center, Inc's NPI number?

The NPI number for Olive Tree Wellness Center, Inc is 1295997419. It was assigned to this organization in the NPPES registry on June 29, 2008.

Where is Olive Tree Wellness Center, Inc located?

Olive Tree Wellness Center, Inc is located at 1146 Olivewood Dr, Merced, CA 95348. The listed phone number is (209) 723-0019.

What is Olive Tree Wellness Center, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Olive Tree Wellness Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1046549) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Olive Tree Wellness Center, Inc was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.