Healthcare Provider Details

I. General information

NPI: 1740913409
Provider Name (Legal Business Name): ARTHUR ORLANDO OLIVO ASW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 GUADALUPE PKWY STE 238
SAN JOSE CA
95110-1714
US

IV. Provider business mailing address

840 GUADALUPE PKWY STE 238
SAN JOSE CA
95110-1714
US

V. Phone/Fax

Practice location:
  • Phone: 408-707-4277
  • Fax:
Mailing address:
  • Phone: 408-707-4277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberB00004311025
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number134378
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: