Olivia A. Seibenick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA52214 Issued in CA

Practice address

100 Wilshire Blvd Ste 700
Santa Monica, CA 90401-3602

Phone

(310) 419-8799

NPI assigned

Jan 6, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, UT, WA, AZ4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Physician Assistant

Education

University of Washington School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olivia.seibenick@597174495543300.direct.elationemr.com

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.

• Workit Health Mi PLLC

  • General Practice Physician
  • Lakewood, WA
  • NPI 1134748643
  Medicare reassignment NPD
• Workit Health Mi PLLC

  • General Practice Physician
  • Scottsdale, AZ
  • NPI 1730824863
  Medicare reassignment NPD
• Workit Health PC

  • General Practice Physician
  • Walnut Creek, CA
  • NPI 1245748201
  Medicare reassignment
• Workit Health Mi PLLC

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1366189912
  Medicare reassignment
• Workit Health Mi PLLC

  • General Practice Physician
  • Missoula, MT
  • NPI 1639744006
  NPD
• Lags Spine and Sportscare Medical Centers, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lemoore, CA
  • NPI 1487135067
  NPD (past)
• Lags Spine and Sportscare Medical Centers, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hayward, CA
  • NPI 1962983965
  NPD (past)
• Open Door Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Eureka, CA
  • NPI 1831713452
  NPD (past)
• Regenerative Spine, Pain, and Neuropathy Centers, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bakersfield, CA
  • NPI 1497323570
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1083036362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 794",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967210794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILSHIRE BLVD STE 700",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904013602",
            "telephone_number": "310-419-8799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Puuhonu Pl Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967202060",
            "country_code": "US",
            "telephone_number": "808-935-6353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIBENICK",
        "first_name": "OLIVIA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA52214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn McCabe Seeman, PH.D.
• Sydney Seese
• Francesca Dove Sefton, OD
• Sarah Segal
• Clifford Segil, D.O.
• Arnold Steven Seid, MD
• Gary Seiden
• Elisa Seidner, OTR
• Steven Seizer, MD
• Michael M Sela, MD JD

• Physician Assistant in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.

Verify at the official NPI Registry.