Ernestina Pelayo de Olivares, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

31109 Issued in AZ

Practice address

5425 N Oracle Rd Ste 115
Tucson, AZ 85704-3898

Phone

(520) 742-9166

Fax

(520) 742-9146

NPI assigned

Oct 18, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• University Physicians Healthcare

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1730141243
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1841371523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 N ORACLE RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043898",
            "telephone_number": "520-742-9166",
            "fax_number": "520-742-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 N ORACLE RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043898",
            "telephone_number": "520-742-9166",
            "fax_number": "520-742-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAYO DE OLIVARES",
        "first_name": "ERNESTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "31109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "875320",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Peet
• Sultana Keshwani Peffley
• Haoting Pei
• Susan L Pekarske, MD
• William J Pekarske, M.D.
• Luz Olga Pelayo-Katsanis, CPNP
• Linda Pelger, PHARMD
• Martin Frederick Pelger, R.PH.
• Zelenia Olivia Pellat, LPC
• Erin Pellegrino

• Psychiatry Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.