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OLIVERIO MEDICAL CORPORATION
NPI 1710415492
Family Medicine in Banning, CA

Active since May 25, 2017CLIA 05D1101752 · Waiver
330 W RAMSEY ST, BANNING, CA 92220(951) 849-1950(951) 849-1892 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, May 25, 2017 (3 updates tracked since 2017).

About Oliverio Medical Corporation NPPES

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

OLIVERIO MEDICAL CORPORATION (NPI 1710415492) is a healthcare organization registered as a family medicine in Banning, California and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through July 5, 2027, maintains a secondary practice location in San Bernardino, and lists Michael R Oliverio, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710415492
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOLIVERIO MEDICAL CORPORATION
Location Address330 W RAMSEY STBanning, CA 92220-4823
Mailing Address330 W Ramsey StBanning, CA 92220-4823 · (951) 849-1950 · Fax (951) 849-1892
Phone(951) 849-1950
Fax(951) 849-1892
Organization SubpartNo
Authorized OfficialMichael R OliverioCeo · (951) 849-1950
Enumeration DateMay 25, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1710415492 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 · A45042
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.
330 W RAMSEY ST, Banning, CA 92220
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Secondary Practice Location 1

Location 1164 W Hospitality Ln Ste 3BSan Bernardino, CA 92408-3328 · Phone (909) 891-1164 · Fax (909) 383-6689

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 05D1101752

Oliverio Medical Corporation · San Bernardino, CA
Active · expires Jul 5, 2027
CLIA Number05D1101752
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorMichael R. Oliverio, MD
Laboratory Phone(909) 891-1164
Laboratory LocationOliverio Medical Corporation164 W Hospitality Ln Ste 3B, San Bernardino, CA 92408
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 7

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

NEW MILLENIUM MEDICAL ASSOCIATES
Pediatrics
330 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 849-1950
MICHAEL RAYMUND OLIVERIO JR. M.D.
Family Medicine
330 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 849-1950
MONEMALA PHILAVONG-DANH NP-C
Nurse Practitioner (Family)
330 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 849-1950
LONG THANH TRAN PA-C
Physician Assistant
330 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 849-1950
OLIVERIO MEDICAL GROUP
Family Medicine
330 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 849-1950
RYAN MICHAEL OLIVERIO DO,MS
Family Medicine
330 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 849-1950
MRS. SANDRA VELAZQUEZ PERKINS PA-C
Physician Assistant
330 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 849-1950

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 Oliverio Medical Corporation's NPI number?

The NPI number for Oliverio Medical Corporation is 1710415492. It was assigned to this organization in the NPPES registry on May 25, 2017.

Where is Oliverio Medical Corporation located?

Oliverio Medical Corporation is located at 330 W Ramsey St, Banning, CA 92220. The listed phone number is (951) 849-1950.

What is Oliverio Medical Corporation's specialty?

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

Does Oliverio Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1101752) is associated with this NPI, valid through July 5, 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 Oliverio Medical Corporation was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.