Organization Active NPI

Windy a. Olaya, M.D., Inc.

  • Plastic and Reconstructive Surgery Physician
  • Orange, CA
National Provider Identifier
1154701829
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A104824 Issued in CA
Legal business name
WINDY A. OLAYA, M.D., INC.
Practice address
1310 W Stewart Dr # 511
Orange, CA 92868-3854
Phone
(714) 564-9225
Fax
(552) 301-4598
NPI assigned
Jun 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Windy Ann Olaya, MDNPI 1508063934
Title
Owner
Phone
(714) 564-9225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X A104824 CA Primary

Addresses

Primary practice location

1310 W Stewart Dr # 511
Orange, CA 92868-3854

Mailing address

1310 W Stewart Dr # 511
Orange, CA 92868-3854
Phone (714) 564-9225

Other practice location 1

1010 W La Veta Ave
Suite 675
Orange, CA 92868-4300
Phone (714) 564-9225

Other identifiers 1

IdentifierTypeStateIssuer
8051041MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150707001674 CA Part B Supplier - Clinic/Group Practice 3476865387 Receives reassigned benefits from 2 practitioners
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

1310 W Stewart Dr
#511
Orange, CA 92868
Phone (714) 564-9225

1120 W La Veta Ave
Ste 450
Orange, CA 92868
Phone (714) 565-5100

1010 W La Veta Ave
Ste 675
Orange, CA 92868
Phone (714) 564-9225

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1154701829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR # 511",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683854",
            "telephone_number": "714-564-9225",
            "fax_number": "855-230-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR # 511",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683854",
            "telephone_number": "714-564-9225",
            "fax_number": "552-301-4598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 W La Veta Ave",
            "address_2": "SUITE 675",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684300",
            "country_code": "US",
            "telephone_number": "714-564-9225",
            "fax_number": "714-564-9847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINDY A. OLAYA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "OLAYA",
        "authorized_official_first_name": "WINDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-564-9225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A104824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051041",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.