Individual provider Active NPI

Ellen Schmidt Olaivar, NP BSN MSN

  • Women's Health Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1407920192
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
6509 Issued in CA
Practice address
1124 W Carson St # N28
Torrance, CA 90502-2006
Phone
(310) 641-0443
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 6509 CA Primary
Registered Nurse 163W00000X 459956 CA

Addresses

Primary practice location

1124 W Carson St # N28
Torrance, CA 90502-2006

Mailing address

7050 W 85TH St
Los Angeles, CA 90045-2625
Phone (310) 641-0443

Other names 1

  • Ellen Olaivar Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
459956CAMDRegistered Nurse
6509CAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1407920192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 W 85TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452625",
            "telephone_number": "310-641-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W CARSON ST # N28",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022006",
            "telephone_number": "310-641-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAIVAR",
        "first_name": "ELLEN",
        "middle_name": "SCHMIDT",
        "credential": "NP BSN MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "6509",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "459956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "OLAIVAR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.