Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Olivas

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366030546

Nicole Olivas is a Physician Assistant in Costa Mesa, California. Qualified in 2021, 5 years ago. Practices with Monica Perlman MD Inc, a 352-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3151 Airway Ave Ste G1
Costa Mesa, CA 92626-4624
Phone: (714) 545-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60496 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366030546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 4, 2021
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022
Mailing address3151 Airway Ave Ste G1, Costa Mesa, CA 92626-4624

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Monica Perlman Md Inc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Costa Mesa