NICOLE OLIVAS
NPI 1366030546
Physician Assistant in Costa Mesa, CA

Active since January 04, 2021PECOS EnrolledAccepts Medicare Assignment
3151 AIRWAY AVE STE G1, COSTA MESA, CA 92626(714) 545-5550 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2022, Feb 22, 2022, Jan 4, 2021 (3 updates tracked since 2021).

About Nicole Olivas NPPES

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

NICOLE OLIVAS (NPI 1366030546) is an individual physician assistant in Costa Mesa, California, licensed in California (60496) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366030546
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE OLIVAS
Location Address3151 AIRWAY AVE STE G1Costa Mesa, CA 92626-4624
Mailing Address3151 Airway Ave Ste G1Costa Mesa, CA 92626-4624
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 4, 2021
Last NPPES UpdateMay 4, 20223 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
NPI 1366030546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 60496
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3151 AIRWAY AVE STE G1, Costa Mesa, CA 92626

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

Nicole Olivas 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 ID7517353444
PECOS Enrollment IDI20220401001402
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 92626 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 15

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

Physician Assistant (Medical)
3151 AIRWAY AVE STE G1
COSTA MESA, CA 92626
Physician Assistant
3151 AIRWAY AVE STE G1
COSTA MESA, CA 92626
Psychiatry & Neurology (Psychiatry)
3151 AIRWAY AVE STE G1
COSTA MESA, CA 92626
Nurse Practitioner (Psychiatric/Mental Health)
3151 AIRWAY AVE STE G1
COSTA MESA, CA 92626
Physician Assistant
3151 AIRWAY AVE STE G1
COSTA MESA, CA 92626
Clinical Nurse Specialist (Psychiatric/Mental Health)
3151 AIRWAY AVE STE G1
COSTA MESA, CA 92626
Physician Assistant
3151 AIRWAY AVE STE G1
COSTA MESA, CA 92626
Physician Assistant
3151 AIRWAY AVE STE G1
COSTA MESA, CA 92626

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 Nicole Olivas's NPI number?

The NPI number for Nicole Olivas is 1366030546. It was assigned to this individual provider in the NPPES registry on January 4, 2021.

Where is Nicole Olivas located?

Nicole Olivas practices at 3151 Airway Ave Ste G1, Costa Mesa, CA 92626. The listed phone number is (714) 545-5550.

What is Nicole Olivas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Olivas enrolled in Medicare?

Yes. Nicole Olivas 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.

When was this NPI record last updated?

The NPPES record for Nicole Olivas was last updated on May 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.