Look up the most recent NPI and PECOS records

Olivia Chase

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr, San Diego, CA 92134-1098

PECOS Enrollment

Based on the most recent information from CMS, provider Olivia Chase does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1013773464
Provider Type
Individual
Full Name
Chase, Olivia
Gender
Female

Sole Proprietor
No
Enumeration Date
2/23/2024
Last Updated
11/10/2025

Contact Information

Practice Location

34800 Bob Wilson Dr, San Diego, CA 92134-1098

(619) 532-6400

Unlisted Fax

Mailing Location

34800 Bob Wilson Dr, San Diego, CA 92134-1098

(619) 532-6400

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 20A24296 California
Code 171000000X	Description Military Health Care Provider Other Service Providers	License Unlisted Issuer
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Olivia Chase

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Lee, Byung Kook

Elliott, Isabel Clare

Lu, Amanda

Hausner, Jacqueline Marie

Lopez, Anthony Luis

Nguyen, Truong Dan

Lee, Joseph

Fergus, Mary

Hawkins, Jack

Kaylor, Ryan Michael