Individual provider Active NPI

Christopher D Olonan, MD

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1013050541
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A88005 Issued in CA
Practice address
1835 El Cajon Boulevard
Suite 8
San Diego, CA 92103
Phone
(619) 688-9000
Fax
(619) 692-4160
NPI assigned
Feb 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A88005 CA Primary

Addresses

Primary practice location

1835 El Cajon Boulevard
Suite 8
San Diego, CA 92103

Mailing address

PO Box 720713
San Diego, CA 92172-0713
Phone (858) 663-3533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
88005CAMDMarriage & Family Therapist
A88005CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. Sullivan MD Internal Medicine Past Accepting new patients
M. Dalia Strauser, MD Internal Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013050541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720713",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921720713",
            "telephone_number": "858-663-3533",
            "fax_number": "619-692-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 EL CAJON BOULEVARD",
            "address_2": "SUITE 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-688-9000",
            "fax_number": "619-692-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLONAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.