Opalyn P Olmedo, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95021752 Issued in CA

Practice address

1415 Ridgeback Rd Ste 4
Chula Vista, CA 91910-6983

Phone

(619) 421-4257

NPI assigned

Sep 22, 2022

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

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Family & Preventive Medical Center of Chula Vista a Medical Corporatio

  • Family Medicine Physician
  • Chula Vista, CA
  • NPI 1538223813
  Medicare reassignment NPD
• Sharp Chula Vista Medical Center

  • Skilled Nursing Facility
  • Chula Vista, CA
  • NPI 1538142369
  NPD (past)

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1356064463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD STE 4",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD STE 4",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106983",
            "telephone_number": "619-421-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMEDO",
        "first_name": "OPALYN",
        "middle_name": "P",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95021752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "Y",
            "endpointDescription": "Other URL",
            "affiliationName": "Sharp Community Medical Group",
            "address_1": "1415 Ridgeback Rd Ste 4",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919106983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aislinn Olivarria
• Kierra Oliver
• Lauren Ashley Oliver, NPSOUTH CAROLINA
• Taylor Oliver
• Resurreccion Medina Oliveria, D.D.S.
• David Gregory Olmen
• Eric James Olson, M.D.
• Jordan Olson
• Mark Jerome Olson
• Chidozie Nnamdi Olumba, PHARMD

• Family Nurse Practitioner in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.