Individual provider Active NPI

Olivia Katherine Azzopardi

  • Physician Assistant
  • La Jolla, CA
National Provider Identifier
1215753124
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4150 Regents Park Row Ste 325
La Jolla, CA 92037-9102
Phone
(858) 909-9033
NPI assigned
Nov 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4150 Regents Park Row Ste 325
La Jolla, CA 92037-9102

Mailing address

64836 Boros CT
Desert Hot Springs, CA 92240-1452

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314002870 CA Practitioner - Physician Assistant 4789106121 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002

480 H St
Chula Vista, CA 91910-4328
Phone (858) 499-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65877CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgery Ctr of So Calif a Med Group CurrentSince Feb 5, 2025 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Physician Assistant CurrentSince Sep 22, 2025 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Sep 22, 2025 Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients

Locations

525 Third Ave
Chula Vista, CA 91910
Phone (619) 585-4050

4150 Regents Park Row
Ste 325
La Jolla, CA 92037
Phone (858) 859-2563

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

31170 Temecula Pkwy
Ste 100
Temecula, CA 92592
Phone (951) 698-6090

2023 W Vista Way
Ste C
Vista, CA 92083
Phone (760) 732-0522

Organizations & group practices 6

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": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1215753124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64836 BOROS CT",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922401452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW STE 325",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379102",
            "telephone_number": "858-909-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZOPARDI",
        "first_name": "OLIVIA",
        "middle_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.