JACOB JEREMIAH OLIVAS
NPI 1750800579
Rehabilitation Practitioner in Riverside, CA

Active since September 13, 2017
1405 SPRUCE ST, SUITE A, RIVERSIDE, CA 92507(951) 715-5040 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2025, Sep 13, 2017 (2 updates tracked since 2017).

About Jacob Jeremiah Olivas NPPES

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

JACOB JEREMIAH OLIVAS (NPI 1750800579) is an individual rehabilitation practitioner in Riverside, California and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1750800579
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameJACOB JEREMIAH OLIVAS
Location Address1405 SPRUCE ST, SUITE ARiverside, CA 92507-2410
Mailing Address3625 14th StRiverside, CA 92501-3815 · (951) 955-1540
Sole ProprietorNo
Enumeration DateSeptember 13, 2017
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
NPI 1750800579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1405 SPRUCE ST, Riverside, CA 92507

Other Providers at the Same Location NPPES 20

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

Community/Behavioral Health
1405 SPRUCE ST, SUITE A
RIVERSIDE, CA 92507
Behavior Technician
1405 SPRUCE ST
RIVERSIDE, CA 92507
Marriage & Family Therapist
1405 SPRUCE ST, SUITE A
RIVERSIDE, CA 92507
Social Worker
1405 SPRUCE ST
RIVERSIDE, CA 92507
Case Manager/Care Coordinator
1405 SPRUCE ST
RIVERSIDE, CA 92507
Counselor (Mental Health)
1405 SPRUCE ST
RIVERSIDE, CA 92507
Counselor (Mental Health)
1405 SPRUCE ST
RIVERSIDE, CA 92507
Counselor
1405 SPRUCE ST, SUITE A
RIVERSIDE, CA 92507

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 Jacob Olivas's NPI number?

The NPI number for Jacob Olivas is 1750800579. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Jacob Olivas located?

Jacob Olivas practices at 1405 Spruce St Suite A, Riverside, CA 92507. The listed phone number is (951) 715-5040.

What is Jacob Olivas's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Jacob Olivas was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.