Olivia Kealani Robinson Chatham, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95009164 Issued in CA

Practice address

950 Civic Center Dr # a
Vista, CA 92083-5208

Phone

(760) 439-4839

Fax

(760) 650-0098

NPI assigned

Jun 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: olivia.chathamnp.p1@direct.vistacommunityclinic.nextgenshare.com

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.

• Advanced Pediatric Medical Group Inc

  • Primary Care Clinic/Center
  • San Diego, CA
  • NPI 1558459180
  NPD (past)
• Vista Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Oceanside, CA
  • NPI 1649363375
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1740772698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 STALMER ST UNIT 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114862",
            "telephone_number": "619-301-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CIVIC CENTER DR # A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835208",
            "telephone_number": "760-439-4839",
            "fax_number": "760-650-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATHAM",
        "first_name": "OLIVIA",
        "middle_name": "KEALANI ROBINSON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95009164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Channing, M.D.
• Amy Chapman
• Jill D. Chapman, D.C.
• Chappell Family Dental Professional Corporation
• Charter Hospice of San Diego, LLC
• Rhiyanna Chatta, CPT, EIM, OES
• Sanjana Chaturvedi, MD
• Andy Chau, MS
• Violeta Chavez-Serrano
• Angelica Chavez

• Family Nurse Practitioner in Vista, CA
• Providers in Vista, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.