Organization Active NPI

Yanira Olaya M.D., Inc.

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1538448725
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A94208 Issued in CA
Legal business name
YANIRA OLAYA M.D., INC.
Practice address
4060 Fourth Ave Ste 102
San Diego, CA 92103-2120
Phone
(619) 717-8888
NPI assigned
Aug 5, 2011
Last updated
Apr 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Dr. Yanira OlayaNPI 1174679047
Title
M.D.
Phone
(619) 717-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X A94208 CA
Psychiatry Physician 2084P0800X A94208 CA Primary

Addresses

Primary practice location

4060 Fourth Ave Ste 102
San Diego, CA 92103-2120

Mailing address

7486 La Jolla Blvd # 162
La Jolla, CA 92037-5029
Phone (619) 717-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110819000319 CA Part B Supplier - Clinic/Group Practice 3274703723 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA; La Jolla, CA

National Provider Directory

National Provider Directory

Locations

7590 Fay Ave
Ste 501
La Jolla, CA 92037
Phone (619) 717-8888

4060 4th Ave
Ste 102
San Diego, CA 92103
Phone (619) 692-8118

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1538448725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7486 LA JOLLA BLVD # 162",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375029",
            "telephone_number": "619-717-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032120",
            "telephone_number": "619-717-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANIRA OLAYA M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "OLAYA",
        "authorized_official_first_name": "YANIRA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "619-717-8888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "A94208",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A94208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.