Angeles Olivarez

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

815 E. Cesar Chavez Blvd
San Luis, AZ 85349

Phone

(928) 627-3822

Fax

(928) 627-3989

NPI assigned

Oct 25, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angeles.olivarez.p1@direct.sunset.nextgenshare.com

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.

• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Somerton, AZ
  • NPI 1962507376

  AZ

  Medicare reassignment Care Compare group NPD
• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Yuma, AZ
  • NPI 1063433720
  Care Compare group NPD (past)
• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • San Luis, AZ
  • NPI 1043324932
  Care Compare group
• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Wellton, AZ
  • NPI 1245344316
  Care Compare group
• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Yuma, AZ
  • NPI 1366812166
  Care Compare group
• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Yuma, AZ
  • NPI 1780401380
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Yuma Regional Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunset Community Health Center Inc 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1316601552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 S BRAND LEE WAY",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853655109",
            "telephone_number": "602-832-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E. CESAR CHAVEZ BLVD",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "85349",
            "telephone_number": "928-627-3822",
            "fax_number": "928-627-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAREZ",
        "first_name": "ANGELES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147479",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siyanda Obed Mquqwana, OT
• Clarisse Vanessa Ngueha-Nana
• Armik Ohanesyan Salmas
• Alejandro Olea
• Maricela Sevilla Olea, FNP-C
• Melissa Ortega
• Omara Hanid Ortiz
• Patricia Rodriguez, FNP-C & Associates
• Jason Cyril Patron, PHARMD
• Ramon Prieto

• All providers in San Luis, AZ
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.