Olga Alexandrovna Rafaelian, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME128638 Issued in FL

Practice address

1803 W March LN Ste D
Stockton, CA 95207-6414

Phone

(916) 364-8395

NPI assigned

Mar 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olgarafaelian@tdh.allscriptsdirect.net

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.

• County of Butte

  • Adult Mental Health Clinic/Center
  • Chico, CA
  • NPI 1578623583
  Medicare reassignment NPD
• DHHS, PHS, Naihs, Shiprock Hospital

  dba Northern Navajo Medical Center

  • General Acute Care Hospital
  • Shiprock, NM
  • NPI 1780639971

  TX

  Medicare reassignment NPD
• County of Butte

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paradise, CA
  • NPI 1174161343
  NPD
• County of Butte

  • Adult Mental Health Clinic/Center
  • Paradise, CA
  • NPI 1629138615
  NPD
• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Teec Nos Pos, AZ
  • NPI 1477615789
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Psychiatry

  NPD
• Vytalyze Minds Corp D/B/a Vertex Health

  dba Vertex Health

  • Behavior Analyst
  • Hialeah, FL
  • NPI 1770218554
  NPD
• Turning Point Community Programs

  • Community/Behavioral Health Agency
  • Stockton, CA
  • NPI 1497218861
  NPD (past)
• Uhs BH Telepsych FL, PLLC

  • Psychiatry Physician
  • Ponte Vedra Beach, FL
  • NPI 1790453033
  NPD (past)

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1295059038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 WESTPORT LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341165418",
            "telephone_number": "239-631-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 W MARCH LN STE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076414",
            "telephone_number": "916-364-8395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 W March Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952076414",
            "country_code": "US",
            "telephone_number": "916-364-8395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFAELIAN",
        "first_name": "OLGA",
        "middle_name": "ALEXANDROVNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME128638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104062300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olgarafaelian@tpcp.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1803 W March Ln Ste D",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952076414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olgarafaelian@tpcp.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "1803 W March Ln Ste C",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952076414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olgarafaelian@tpcp.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1803 W March Ln Ste C",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952076414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Radiology Vision LLC
• Ellen S. Raemsch, MD
• Paula Joan Raeside
• Aliyah Rafael
• Rafaelian Psychiatry LLC
• Jennifer S. Rafanan
• Ilene Carol Ragland
• Kiara Ragsdale-Smith
• Vanessa Rahimi
• Rai Care Centers of Northern California I, LLC (Rai - West March - Stockton)

• Psychiatry Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.