Anysia Victoria Olague

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NP95014665 Issued in CA

Practice address

3745 W Chapman Ave Ste 100
Orange, CA 92868-1656

Phone

(562) 665-4155

NPI assigned

Oct 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1316544240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 ALABAMA ST APT G",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 W CHAPMAN AVE STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681656",
            "telephone_number": "562-665-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAGUE",
        "first_name": "ANYSIA",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP95014665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iffessi Ijeoma Okaro
• Sarafina Okeke
• Calvin J. Okey, DO
• Maryagatha Okpala, RN, PHN
• Genesis Ruth Okugbe, NP
• Jenny N/a Olague
• Blythe Shannon Olander, CCC-SLP
• Marlon Penales Olano
• Martin Penales Olano
• Marvin Penales Olano

• Pediatric Nurse Practitioner in Orange, CA
• Providers in Orange, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.