Individual provider Active NPI

Jemimah Olivar, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1376420026
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95036121 Issued in CA
Practice address
3930 4TH Ave Ste 300
San Diego, CA 92103-3119
Phone
(619) 512-7749
NPI assigned
Aug 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95098572 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95036121 CA Primary

Addresses

Primary practice location

3930 4TH Ave Ste 300
San Diego, CA 92103-3119

Mailing address

3930 4TH Ave Ste 300
San Diego, CA 92103-3119
Phone (619) 320-8711

Other names 1

  • Jem Olivar Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912004055 CA Practitioner - Nurse Practitioner 7315440476 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brittany Watson NP Nursing CorporationGroup PAC ID 9335592211, 7 clinicians
Western Specialty Group LPGroup PAC ID 9739544859, 7 clinicians

Practice addresses (Care Compare)

4420 Hotel Circle CT
Suite 200
San Diego, CA 92108-3423
Phone (858) 522-0145

7850 Vista Hill Ave
San Diego, CA 92123-2717
Phone (858) 939-4393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95036121CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Me Nursing, Inc Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Brittany Watson NP Nursing Corporation Psychiatric/Mental Health CurrentSince Dec 16, 2025 Accepting new patients
Western Specialty Group L.P. Psychiatric/Mental Health CurrentSince Sep 15, 2025 Accepting new patients
Oc Couple and Family Therapy PastSince May 26, 2024 Accepting new patients

Locations

101 S El Camino Real
Ste 106
San Clemente, CA 92672
Phone (858) 522-0145

1401 N El Camino Real
Ste 100
San Clemente, CA 92672
Phone (858) 522-0145

4420 Hotel Circle Ct
Ste 200
San Diego, CA 92108
Phone (619) 933-2165

7850 Vista Hill Ave
San Diego, CA 92123
Phone (858) 836-8434

1446 Front St
Ste 400
San Diego, CA 92101
Phone (619) 320-8711

3930 4th Ave
Ste 300
San Diego, CA 92103
Phone (619) 320-8711

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1755302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1376420026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 4TH AVE STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033119",
            "telephone_number": "619-320-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 4TH AVE STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033119",
            "telephone_number": "619-512-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAR",
        "first_name": "JEMIMAH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-16",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95098572",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95036121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEM",
            "last_name": "OLIVAR",
            "credential": "PMHNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.