Individual provider Active NPI

Airene Olesco Maldonado

  • Nurse Practitioner
  • Menifee, CA
National Provider Identifier
1245972835
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95020124 Issued in CA
Practice address
26501 Mesa Vista Drive
Menifee, CA 92584
Phone
(626) 290-4548
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 95020124 CA Primary

Addresses

Primary practice location

26501 Mesa Vista Drive
Menifee, CA 92584

Mailing address

26501 Mesa Vis
Menifee, CA 92584-2939
Phone (626) 290-4548

Other practice location 1

195 Page Mill Road
Suite 103
Palo Alto, CA 94306
Phone (888) 731-8994

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
I20220707002582 CA Practitioner - Nurse Practitioner 8628458668 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Impact Medical Associates CaliforniaGroup PAC ID 3274902267, 5 clinicians
Sharwin Tafazoli IncGroup PAC ID 8729416953, 59 clinicians

Practice addresses (Care Compare)

11838 Bernardo Plaza CT
Suite 260a
San Diego, CA 92128-2413
Phone (619) 872-5288

3828 Delmas Ter
Culver City, CA 90232-2713
Phone (310) 836-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95020124CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osher Resources Inc Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Caring Hearts CurrentSince Aug 28, 2022 Accepting new patients
Primomd, Inc Single Specialty CurrentSince Mar 4, 2025 Accepting new patients
Sharwin Tafazoli Inc Single Specialty CurrentSince Jan 10, 2026 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Single Specialty CurrentSince May 27, 2022 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Single Specialty CurrentSince May 27, 2022 Accepting new patients
Housecall Doctors Medical Group Inc Single Specialty CurrentSince Nov 15, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Single Specialty CurrentSince May 27, 2022 Accepting new patients
Owen Healthcare, LLC PastSince Jan 19, 2025 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

4829 Clairemont Dr
San Diego, CA 92117
Phone (858) 273-5300

548 Market St
San Francisco, CA 94104
Phone (415) 275-1838

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

4343 N Sierra Way
Sn Bernrdno, CA 92407
Phone (909) 886-4731

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

Interoperability endpoints

  • Direct secure messaging: airene.maldonado@746395612545028.direct.elationemr.com
  • Direct secure messaging: airene.maldonadonp.p1@direct.afh.nextgenshare.com
  • Direct secure messaging: airene.maldonado.1@3574.direct.athenahealth.com

Organizations & group practices 12

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1245972835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26501 MESA VIS",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925842939",
            "telephone_number": "626-290-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26501 MESA VISTA DRIVE",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92584",
            "telephone_number": "626-290-4548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Page Mill Road",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "94306",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "AIRENE",
        "middle_name": "OLESCO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.