Active NPI
Olive Crest
- Community/Behavioral Health Agency
- San Diego, CA
National Provider Identifier
1679480339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- OLIVE CREST
- Practice address
- 7220 Trade St Ste 103
San Diego, CA 92121-2325 - Phone
- (858) 389-0010
- NPI assigned
- Aug 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Marie Chang
- Title
- Regional Programs Director
- Phone
- (714) 543-5437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
7220 Trade St Ste 103
San Diego, CA 92121-2325
Mailing address
2130 E 4TH St
Santa Ana, CA 92705-3818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1679480339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 E 4TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 TRADE ST STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212325",
"telephone_number": "858-389-0010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVE CREST",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "REGIONAL PROGRAMS DIRECTOR",
"authorized_official_telephone_number": "714-543-5437"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.