Individual provider Active NPI

Irene Sacamay Olaes, DMD

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1275594558
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40103 Issued in CA
Practice address
12335 World Trade Dr
1B
San Diego, CA 92128-3716
Phone
(858) 487-4683
Fax
(858) 487-4690
NPI assigned
Mar 28, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40103 CA Primary

Addresses

Primary practice location

12335 World Trade Dr
1B
San Diego, CA 92128-3716

Mailing address

12335 World Trade Dr
1B
San Diego, CA 92128-3716
Phone (858) 487-4683

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

State licenses

LicenseStateTypeSpecialty
40103CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275594558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 WORLD TRADE DR",
            "address_2": "1B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283716",
            "telephone_number": "858-487-4683",
            "fax_number": "858-487-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12335 WORLD TRADE DR",
            "address_2": "1B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283716",
            "telephone_number": "858-487-4683",
            "fax_number": "858-487-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAES",
        "first_name": "IRENE",
        "middle_name": "SACAMAY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.