Active NPI
Ian Olazo Velez, RN
- Adult Psychiatric/Mental Health Registered Nurse
- San Diego, CA
National Provider Identifier
1437619228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 95105226
- Practice address
- 3853 Rosecrans St
San Diego, CA 92110-3115 - Phone
- (619) 692-8228
- NPI assigned
- Mar 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 95105226 | CA | Primary |
| Registered Nurse | 163W00000X | 95105226 | CA |
Addresses
Primary practice location
3853 Rosecrans St
San Diego, CA 92110-3115
Mailing address
577 McIntosh St Apt 6
Chula Vista, CA 91910-1534
Phone (808) 381-3604
Other practice location 1
577 McIntosh St Apt 6
Chula Vista, CA 91910-1534
Phone (808) 381-3604
Other names 1
- Atrianne Nobert Olazo Trasmonte
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95105226 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1437619228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 MCINTOSH ST APT 6",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919101534",
"telephone_number": "808-381-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3853 ROSECRANS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103115",
"telephone_number": "619-692-8228"
}
],
"practiceLocations": [
{
"address_1": "577 McIntosh St Apt 6",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919101534",
"country_code": "US",
"telephone_number": "808-381-3604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELEZ",
"first_name": "IAN",
"middle_name": "OLAZO",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "95105226",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95105226",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ATRIANNE NOBERT",
"last_name": "TRASMONTE",
"middle_name": "OLAZO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.