Active NPI
Olivia Favela-Gary, CNM
- Advanced Practice Midwife
- Pasadena, CA
National Provider Identifier
1144627407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- MNW235720
- Practice address
- 1066 San Pasqual St Apt 14
Pasadena, CA 91106-3276 - Phone
- (626) 524-4440
- NPI assigned
- Dec 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | MNW235720 | CA | Primary |
Addresses
Primary practice location
1066 San Pasqual St Apt 14
Pasadena, CA 91106-3276
Mailing address
395 S Los Robles Ave Apt 24
Pasadena, CA 91101-3223
Phone (626) 524-4440
Other practice location 1
1513 S Grand Ave Ste 220
Los Angeles, CA 90015-3075
Phone (213) 747-5542
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | olivia.favelagary.p1@direct.eisnerhealth.nextgenshare.com | Health Information Exchange (HIE) |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MNW235720 | CA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Pediatric and Family Medical Center | Past | Accepting new patients | |
| Pediatric and Family Medical Center | Past | Accepting new patients |
Locations
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
Interoperability endpoints
- olivia.favela-gary.1@28334.direct.athenahealth.com
- oliviafavela-gary@pihh.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Family Medicine Physician
- Montebello, CA
- NPI 1316341530
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1720468804
-
- Federally Qualified Health Center (FQHC)
- Sherman Oaks, CA
- NPI 1982075107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1144627407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 S LOS ROBLES AVE APT 24",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013223",
"telephone_number": "626-524-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1066 SAN PASQUAL ST APT 14",
"city": "PASADENA",
"state": "CA",
"postal_code": "911063276",
"telephone_number": "626-524-4440"
}
],
"practiceLocations": [
{
"address_1": "1513 S Grand Ave Ste 220",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900153075",
"country_code": "US",
"telephone_number": "213-747-5542",
"fax_number": "213-342-3431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAVELA-GARY",
"first_name": "OLIVIA",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-01",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "MNW235720",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "olivia.favelagary.p1@direct.eisnerhealth.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "NextGenShare, Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1530 S Olive St",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900153023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.