Active NPI
Yaima Salazar Oliva, P.A.
- Physician Assistant
- Glendale, AZ
National Provider Identifier
1184551491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3084-P.A.
- Practice address
- 6240 N 63Rd Ave Apt 216
Glendale, AZ 85301-4371 - Phone
- (954) 614-5709
- NPI assigned
- May 8, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3084-P.A. | PR | Primary |
| Physician Assistant | 363A00000X | TPPA1244 | FL | |
| Medical Physician Assistant | 363AM0700X | 3084-P.A. | PR |
Addresses
Primary practice location
6240 N 63Rd Ave Apt 216
Glendale, AZ 85301-4371
Mailing address
6240 N 63Rd Ave Apt 216
Glendale, AZ 85301-4371
Phone (954) 614-5709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPPA1244 | FL | MD | Physician Assistant |
| 3084-P.A. | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1184551491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6240 N 63RD AVE APT 216",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853014371",
"telephone_number": "954-614-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6240 N 63RD AVE APT 216",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853014371",
"telephone_number": "954-614-5709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR OLIVA",
"first_name": "YAIMA",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-08",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "3084-P.A.",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "TPPA1244",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "3084-P.A.",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.