Active NPI
Anthony Stephen Olsen, L.AC., M.S.
- Acupuncturist
- Concord, CA
National Provider Identifier
1104068899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 728
- Practice address
- 4418 Weeping Spruce CT
Concord, CA 94521-4443 - Phone
- (805) 637-3132
- NPI assigned
- Mar 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 728 | HI | Primary |
Addresses
Primary practice location
4418 Weeping Spruce CT
Concord, CA 94521-4443
Mailing address
4747 Kilauea Ave
Suite 115
Honolulu, HI 96816-5308
Phone (808) 384-5159
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 728 | HI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1104068899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 KILAUEA AVE",
"address_2": "SUITE 115",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165308",
"telephone_number": "808-384-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4418 WEEPING SPRUCE CT",
"city": "CONCORD",
"state": "CA",
"postal_code": "945214443",
"telephone_number": "805-637-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "ANTHONY",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "L.AC., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.