Individual provider Active NPI

Katrina Olivas

  • Licensed Vocational Nurse
  • Rancho Cucamonga, CA
National Provider Identifier
1487561874
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
71463 Issued in CA
Practice address
8160 Day Creek Blvd
Rancho Cucamonga, CA 91739-8549
Phone
(909) 825-7084
Fax
(909) 422-3006
NPI assigned
Aug 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 71463 CA Primary

Addresses

Primary practice location

8160 Day Creek Blvd
Rancho Cucamonga, CA 91739-8549

Mailing address

8160 Day Creek Blvd
Rancho Cucamonga, CA 91739-8549
Phone (909) 825-7084

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1487561874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 DAY CREEK BLVD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398549",
            "telephone_number": "909-825-7084",
            "fax_number": "909-422-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 DAY CREEK BLVD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398549",
            "telephone_number": "909-825-7084",
            "fax_number": "909-422-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAS",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "71463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.