Olivia Vasquez Morales, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

21123 Issued in CA

Practice address

18077 Outer Hwy 18
Suite 100
Apple Valley, CA 92307-2197

Phone

(760) 946-8169

NPI assigned

Dec 14, 2011

Last updated

Jan 1, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Olivia Gaerlan Vasquez Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: oliviamorales@wdsmdinc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blessed Hands Medical Group

  • General Practice Physician
  • Ontario, CA
  • NPI 1699653808
  Medicare reassignment
• Breeze Medical Group PC

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1114775012
  Medicare reassignment
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586
  NPD (past)

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483228800000",
    "number": "1619246006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18077 OUTER HWY 18",
            "address_2": "SUITE 100",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072197",
            "telephone_number": "760-946-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18077 OUTER HWY 18",
            "address_2": "SUITE 100",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072197",
            "telephone_number": "760-946-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "OLIVIA",
        "middle_name": "VASQUEZ",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2017-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "21123",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 21123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EFFECTIVE 8/4/15",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DU5182-P01528202",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DU4034-P01528407",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "VASQUEZ",
            "middle_name": "GAERLAN",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lizette Morales Garcia
• Carolina Farias Morales, LCSW
• Giselle Paola Morales
• Jamie Morales, PT
• Melinda Morales
• Ashley M Morello, AGACNP-BC, RN
• Roberto Moreno Gutierrez
• Valeria Irene Moreno
• Rhonda Lynn Morken, LMFT
• Janine Morris, RN

• Nurse Practitioner in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.