Individual provider Active NPI

Olivia Favela-Gary, CNM

  • Advanced Practice Midwife
  • Pasadena, CA
National Provider Identifier
1144627407
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MNW235720 Issued in CA
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

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512001172 CA Practitioner - Certified Nurse Midwife (CNM) 2163705583 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
MNW235720CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Current Accepting new patients
Pih Health Physicians CurrentSince Apr 15, 2025 Accepting new patients
Pih Health Physicians CurrentSince Apr 15, 2025 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

  • Direct secure messaging: olivia.favela-gary.1@28334.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.