MEDICARE: ROBERT OLIVER PA

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	363A00000X	Physician Assistant	PA61071	CA

General Provider Information

NPI Number	:	1669101119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT OLIVER PA

Provider Business Mailing Address
First Line	:	5132 SPARROW DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-1400
Country	:	US
Telephone Number	:	714-470-1771
Fax Number	:

Provider Business Practice Location Address
First Line	:	191 E ALESSANDRO BLVD
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-5095
Country	:	US
Telephone Number	:	951-780-3300
Fax Number	:

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

Provider Enumeration Date	:	06/09/2022
Last Update Date	:	06/09/2022

Similar Medicare Providers

1295796688 — DR. STEPHANIE D BOWLIN EDD, PA
Practice Location Address:

191 E ALESSANDRO BLVD
RIVERSIDE, CA
92508-5095

Practice Phone: 951-749-5511
Practice Fax:

1366850059 — PRN URGENT CARE, INC.
Practice Location Address:

191 E ALESSANDRO BLVD STE 9A
RIVERSIDE, CA
92508-5095

Practice Phone: 951-780-3300
Practice Fax: 951-780-3303

1205224417 — MISSION GROVE MEDICAL CORPORATION
Practice Location Address:

191 E. ALESSANDRO BLVD #9A
RIVERSIDE, CA
92508-5095

Practice Phone: 951-780-3300
Practice Fax:

1952776759 — JEAN LACOMBE PA-C
Practice Location Address:

191 E ALESSANDRO BLVD STE 9A
RIVERSIDE, CA
92508-5095

Practice Phone: 951-780-3300
Practice Fax: 951-672-9635

1740878768 — PACIFIC FAMILY MEDICAL INC
Practice Location Address:

191 E ALESSANDRO BLVD # 9A
RIVERSIDE, CA
92508-5095

Practice Phone: 951-338-9707
Practice Fax:

1033840699 — MELISSA A. DAVIS NP
Practice Location Address:

191 E ALESSANDRO BLVD # 9A
RIVERSIDE, CA
92508-5095

Practice Phone: 951-780-3300
Practice Fax:

Directions to “ ROBERT OLIVER PA” 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 © 2007-2026 (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.