Active NPI
Rafael Elias Olivares Chayeb
- Clinical Psychologist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY35650
- Practice address
- 480 Alta Rd
San Diego, CA 92179-0001 - Phone
- (619) 691-6947
- NPI assigned
- Feb 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Behavior Technician | 106S00000X | CA | ||
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | PSY35650 | CA | Primary |
Addresses
Primary practice location
480 Alta Rd
San Diego, CA 92179-0001
Mailing address
1260 Morena Blvd Ste 100
San Diego, CA 92110-3850
Phone (619) 398-0355
Other practice location 1
902 Euclid Ave
National City, CA 91950-3808
Phone (619) 722-0014
Other practice location 2
264 Landis Ave Ste 200
Chula Vista, CA 91910-2651
Phone (855) 223-7123
Other practice location 3
541 S V Ave
National City, CA 91950-2828
Phone (619) 722-0014
Other practice location 4
1260 Morena Blvd Ste 100
San Diego, CA 92110-3850
Phone (619) 398-0355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2 Market Plaza Way
3 Zetter Healthcare LLC
Mechanicsburg, PA 17055-5679
PO Box
Irvine, CA 92623
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY35650 | CA | MD | Clinical Psychologist |
| 35650 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Psychology Services PC | Psychologist | Current | Accepting new patients |
Locations
1201 S Orange Ave
El Cajon, CA 92020
Phone (619) 441-1988
3034 E Herndon Ave
Fresno, CA 93720
Phone (559) 320-0883
750 B St
Ste 2870
San Diego, CA 92101
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- San Diego, CA
- NPI 1558752931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1003317306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 MORENA BLVD STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103850",
"telephone_number": "619-398-0355",
"fax_number": "619-398-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 ALTA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921790001",
"telephone_number": "619-691-6947"
}
],
"practiceLocations": [
{
"address_1": "902 Euclid Ave",
"address_purpose": "LOCATION",
"city": "National City",
"state": "CA",
"postal_code": "919503808",
"country_code": "US",
"telephone_number": "619-722-0014",
"fax_number": "619-327-4174",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "264 Landis Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919102651",
"country_code": "US",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "541 S V Ave",
"address_purpose": "LOCATION",
"city": "National City",
"state": "CA",
"postal_code": "919502828",
"country_code": "US",
"telephone_number": "619-722-0014",
"fax_number": "619-327-4174",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1260 Morena Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921103850",
"country_code": "US",
"telephone_number": "619-398-0355",
"fax_number": "619-398-0350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVARES CHAYEB",
"first_name": "RAFAEL",
"middle_name": "ELIAS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-22",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY35650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.