Olivia Taeko Ishibashi, MD, MPH in Santa Monica, CA

Olivia Taeko Ishibashi, MD, MPH is a medicare enrolled "Family Medicine" physician in Santa Monica, California. She went to University Of California, Geffen School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Uc Regents and her current practice location is 1920 Colorado Ave, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 319-4711.

Olivia Taeko Ishibashi is licensed to practice in California (license number A178419) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033670138.

Contact Information

	Olivia Taeko Ishibashi, MD, MPH
	1920 Colorado Ave, Santa Monica, CA 90404-3414
	(310) 319-4711
	Not Available

Map and Direction

Physician's Profile

Full Name	Olivia Taeko Ishibashi
Gender	Female
Speciality	Family Practice
Experience	6 Years
Location	1920 Colorado Ave, Santa Monica, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Olivia Taeko Ishibashi attended and graduated from University Of California, Geffen School Of Medicine in 2019

NPI Data:

NPI Number: 1033670138
Provider Enumeration Date: 03/29/2019
Last Update Date: 01/09/2025

Medicare PECOS Information:

PECOS PAC ID: 9638581044
Enrollment ID: I20220516002496

Medical Identifiers

Medical identifiers for Olivia Taeko Ishibashi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033670138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	A178419 (California)	Secondary
207Q00000X	Family Medicine	A178419 (California)	Primary
207QA0000X	Family Medicine - Adolescent Medicine	A178419 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital	Santa monica, CA	Hospital
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Uc Regents	9739083866	38

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Olivia Taeko Ishibashi allows following entities to bill medicare on her behalf.

Entity Name	Uc Regents
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275591802 PECOS PAC ID: 9739083866 Enrollment ID: O20031120000978

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Olivia Taeko Ishibashi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Olivia Taeko Ishibashi, MD, MPH 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Olivia Taeko Ishibashi, MD, MPH 1920 Colorado Ave, Santa Monica, CA 90404-3414 Ph: (310) 319-4711

Reviews and Comments

Family Medicine Doctors in Santa Monica, CA

Dr. Jamie Ann Elson-wolin, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2121 Wilshire Blvd, Suite 306, Santa Monica, CA 90403 Phone: 310-264-0765 Fax: 310-829-0765
Dr. Patricia Yee-ling Chang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1131 Wilshire Blvd, Suite 300, Santa Monica, CA 90401 Phone: 310-395-5588
Meron Abreham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404 Phone: 310-319-4700
Martin Louis Alpert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Wilshire Blvd Ste 810, Santa Monica, CA 90403 Phone: 310-393-0739 Fax: 310-395-2063
Dr. Shane Alan Hervey, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1225 15th St Ste 2100, Santa Monica, CA 90404 Phone: 310-319-1234
Edison Victor De Mello, MD PHD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Arizona Avenue, Santa Monica, CA 90401 Phone: 310-451-8880 Fax: 310-451-8803

Olivia Taeko Ishibashi, MD, MPH - Medicare Family Practice in Santa Monica, CA