Individual provider Active NPI

Celeste Olmos, PA-C

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1962873059
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6149 Issued in AZ
Practice address
10210 N 92ND St Ste 202
Scottsdale, AZ 85258-4524
Phone
(480) 882-7490
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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 6149 AZ Primary

Addresses

Primary practice location

10210 N 92ND St Ste 202
Scottsdale, AZ 85258-4524

Mailing address

10210 N 92ND St Ste 202
Scottsdale, AZ 85258-4524
Phone (480) 882-7490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160907001359 AZ Practitioner - Physician Assistant 9537455274 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6149AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Dec 10, 2018 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Aug 1, 2016 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Aug 1, 2016 Accepting new patients
Honorhealth Ambulatory CurrentSince Dec 10, 2018 Accepting new patients

Locations

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

20440 N 27th Ave
Phoenix, AZ 85027

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

10210 N 92nd St
Ste 202
Scottsdale, AZ 85258
Phone (480) 451-6860

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1962873059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584524",
            "telephone_number": "480-882-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584524",
            "telephone_number": "480-882-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMOS",
        "first_name": "CELESTE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.