Individual provider Active NPI

Joffre Enrique Olaya

  • Neurological Surgery Physician
  • Orange, CA
National Provider Identifier
1326255852
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A104640 Issued in CA
Practice address
1010 W la Veta Ave Ste 710
Orange, CA 92868-4306
Phone
(714) 835-2724
Fax
(714) 835-2752
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X MD60370239 WA
Neurological Surgery Physician 207T00000X A104640 CA Primary

Addresses

Primary practice location

1010 W la Veta Ave Ste 710
Orange, CA 92868-4306

Mailing address

1010 W la Veta Ave Ste 710
Orange, CA 92868-4306
Phone (714) 835-2724

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120702000083 CA Practitioner - Pediatric MedicinePractitioner - Neurosurgery 9133384894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurosurgery
Education
University of California, Davis School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 W la Veta Ave
Orange, CA 92868-4203
Phone (888) 770-2462

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A104640CAMDNeurological Surgery Physician
MD60370239WAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital of Orange County CurrentSince Oct 13, 2018 Accepting new patients
Seattle Children'S Hospital Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients

Locations

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

505 S Main St
Ste 300
Orange, CA 92868
Phone (714) 509-7070

Dept LA 21333
Pasadena, CA 91185

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1326255852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 710",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684306",
            "telephone_number": "714-835-2724",
            "fax_number": "714-835-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 710",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684306",
            "telephone_number": "714-835-2724",
            "fax_number": "714-835-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAYA",
        "first_name": "JOFFRE",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD60370239",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A104640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.