Physician Compare National (NPI:1295059038)

HEALTHCARE PROVIDER: OLGA ALEXANDROVNA RAFAELIAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1295059038
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981853967
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200612001090
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RAFAELIAN
	Individual professional last name
Provider First Name	OLGA
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	COUNTY OF BUTTE
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3779489356
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	25
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	560 COHASSET RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 175
	Group Practice or individual's line 2 address
City	CHICO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	959262460
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5308912784
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100018
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NAPLES COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050030
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OROVILLE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y