Healthcare Provider Details

I. General information

NPI: 1043143795
Provider Name (Legal Business Name): NIVIE ORON MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 320531
SAN FRANCISCO CA
94132-0531
US

IV. Provider business mailing address

170 PERKINS ST APT 103
OAKLAND CA
94610-3044
US

V. Phone/Fax

Practice location:
  • Phone: 415-497-7038
  • Fax:
Mailing address:
  • Phone: 415-497-7038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number159093
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: