Active NPI
Stacy Nicole Jones, NP
- Family Nurse Practitioner
- Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95012786
- Practice address
- 204 S Santa Fe Ave
Vista, CA 92084-6002 - Phone
- (858) 554-1212
- NPI assigned
- Sep 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95012786 | CA | Primary |
Addresses
Primary practice location
204 S Santa Fe Ave
Vista, CA 92084-6002
Mailing address
1466 Stewart St
Oceanside, CA 92054-5450
Phone (402) 340-4239
Other names 1
- Stacy Nicole Olson
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9850 Genesee Ave
La Jolla, CA 92037-1208
Phone (858) 864-9800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elahe Toulouie MD Inc | Current | Accepting new patients | |
| Monica Perlman MD Inc. | Current | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| UC San Diego Health - Rancho Family Medical Group | Past | Accepting new patients |
Locations
1580 N 2nd St
El Cajon, CA 92021
Phone (619) 269-0734
9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800
5222 Balboa Ave
Ste 45
San Diego, CA 92117
Phone (858) 616-6430
3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855
3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474
204 S Santa Fe Ave
Vista, CA 92084
Phone (760) 941-8888
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- La Jolla, CA
- NPI 1134309305
-
- Internal Medicine Physician
- El Cajon, CA
- NPI 1770689382
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Multi-Specialty Clinic/Center
- Temecula, CA
- NPI 1003385071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1679123418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1466 STEWART ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920545450",
"telephone_number": "402-340-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S SANTA FE AVE",
"city": "VISTA",
"state": "CA",
"postal_code": "920846002",
"telephone_number": "858-554-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "STACY",
"middle_name": "NICOLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95012786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "OLSON",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.