MEDICARE: SANTIAGO OLIVARES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	ACSW134404	CA

General Provider Information

NPI Number	:	1356169551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANTIAGO OLIVARES

Provider Business Mailing Address
First Line	:	3433 W SHAW AVE # 107
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3229
Country	:	US
Telephone Number	:	559-476-2115
Fax Number	:

Provider Business Practice Location Address
First Line	:	3433 W SHAW AVE # 107
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3229
Country	:	US
Telephone Number	:	559-476-2115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2024
Last Update Date	:	12/03/2025

Similar Medicare Providers

1568325645 — RAJ CHAUHAN
Practice Location Address:

3433 W SHAW AVE STE 102
FRESNO, CA
93711-3229

Practice Phone: 559-374-3990
Practice Fax:

1447044854 — MENG THAO
Practice Location Address:

3433 W SHAW AVE # 107
FRESNO, CA
93711-3229

Practice Phone: 559-374-3990
Practice Fax:

1043720899 — INEZ MARIE MENDEZ ACSW
Practice Location Address:

3433 W SHAW AVE STE 102
FRESNO, CA
93711-3229

Practice Phone: 559-558-4051
Practice Fax:

1366305435 — ALEXANDRA BARRAGAN MALDONADO
Practice Location Address:

3433 W SHAW AVE # 107
FRESNO, CA
93711-3229

Practice Phone: 559-476-2115
Practice Fax:

1962365361 — KELLEE JEAN LUJANO
Practice Location Address:

3433 W SHAW AVE # 107
FRESNO, CA
93711-3229

Practice Phone: 559-476-2115
Practice Fax:

1427181924 — MR. PETER ANTHONY GONZALEZ
Practice Location Address:

3433 W SHAW AVE STE 107
FRESNO, CA
93711-3229

Practice Phone: 559-749-2115
Practice Fax: 559-550-0348

Directions to “ SANTIAGO OLIVARES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.