Individual provider Active NPI

Melanie Ann Olivarez, PA

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1821420308
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08379 Issued in TX
Practice address
615 NW Loop 410 Ste 210
San Antonio, TX 78216-5520
Phone
(210) 384-8282
Fax
(210) 384-8629
NPI assigned
Aug 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08379 TX Primary

Addresses

Primary practice location

615 NW Loop 410 Ste 210
San Antonio, TX 78216-5520

Mailing address

2961 Mossrock
San Antonio, TX 78230-5119
Phone (210) 731-4800

Other practice location 1

520 Camden St
San Antonio, TX 78215-1924
Phone (210) 223-3146

Other names 1

  • Melanie Ann Saldivar Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20210112003020 TX Practitioner - Physician Assistant 5597055350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Primecare, IncGroup PAC ID 8628073236, 70 clinicians

Practice addresses (Care Compare)

10307 State Hwy 151
San Antonio, TX 78251-4557
Phone (210) 237-4983

105 Falls CT
Suite 100
Boerne, TX 78006-2986
Phone (830) 249-3800

1910 S New Braunfels
San Antonio, TX 78210-5220
Phone (210) 532-0891

810 S E Military Dr
Physician Primecare Val Verde
San Antonio, TX 78214-2823
Phone (210) 921-4200

8542 Wurzbach Rd
San Antonio, TX 78240-1241

911 Castroville Rd
San Antonio, TX 78237-3146
Phone (210) 436-7402

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA08379TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa a. Davis, M.D., P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melanie.saldivar@htmg.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1821420308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 MOSSROCK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305119",
            "telephone_number": "210-731-4800",
            "fax_number": "210-731-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 NW LOOP 410 STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165520",
            "telephone_number": "210-384-8282",
            "fax_number": "210-384-8629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 CAMDEN ST",
            "address_purpose": "LOCATION",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151924",
            "country_code": "US",
            "telephone_number": "210-223-3146",
            "fax_number": "210-223-1816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVAREZ",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "SALDIVAR",
            "middle_name": "ANN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.