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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: November 01, 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
Phone(657) 220-4208
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Olivia Uytiepo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
5.1 mi
Health Maintenance Organization
1893 W MALVERN AVE
Fullerton, CA 92833
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1336556059 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. LA TONYA MARIE TINGSTAD LCSW
Social Worker (Clinical)
1811 W KATELLA AVE, SUITE 219
ANAHEIM, CA 92804
Orange County (714) 925-0002
VALUE HEALTH CHOICE MEDICAL GROUP, INC.
Family Medicine (Adult Medicine)
1811 W KATELLA AVE, STE#218
ANAHEIM, CA 92804
Orange County (714) 833-5674

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Uytiepo's NPI number?

The NPI number for Olivia Uytiepo is 1104527878. It was assigned to this individual provider in the NPPES registry on March 10, 2023.

Where is Olivia Uytiepo located?

Olivia Uytiepo practices at 1811 W Katella Ave, Anaheim, CA 92804. The listed phone number is (657) 220-4208.

What is Olivia Uytiepo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Olivia Uytiepo enrolled in Medicare?

Yes. Olivia Uytiepo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Olivia Uytiepo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Uytiepo reassigns Medicare benefits to Southern California Permanente Medical Group (Fullerton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olivia Uytiepo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Olivia Uytiepo was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.