OLIVIA BARILEA UYTIEPO
NPI 1104527878
Nurse Practitioner - Adult Health in Anaheim, CA

Active since March 10, 2023PECOS EnrolledAccepts Medicare Assignment
1811 W KATELLA AVE, ANAHEIM, CA 92804(657) 220-4208 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 27, 2025, Mar 10, 2023 (2 updates tracked since 2023).

About Olivia Barilea Uytiepo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA BARILEA UYTIEPO (NPI 1104527878) is an individual adult health provider in Anaheim, California, licensed in California (95020461) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104527878
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameOLIVIA BARILEA UYTIEPO
Location Address1811 W KATELLA AVEAnaheim, CA 92804-6664
Mailing Address33 Tortuga CayAliso Viejo, CA 92656-2330 · (714) 858-1108
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 10, 2023
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
NPI 1104527878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CA · 95020461
1811 W KATELLA AVE, Anaheim, CA 92804

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Olivia Barilea Uytiepo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103343769
PECOS Enrollment IDI20250507001069
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Adult Medicine)
1811 W KATELLA AVE, STE#218
ANAHEIM, CA 92804
Social Worker (Clinical)
1811 W KATELLA AVE, SUITE 219
ANAHEIM, CA 92804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104527878, enumerated as an "individual" on March 10, 2023.

The provider is located at 1811 W KATELLA AVE ANAHEIM, CA 92804 and the phone number is (657) 220-4208.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.