Active NPI
Robert A Olson, CRNA, M.S
- Certified Registered Nurse Anesthetist
- Beverly Hills, CA
National Provider Identifier
1174607667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3404
- Practice address
- 450 N Roxbury Dr
Suite 600
Beverly Hills, CA 90210-4232 - Phone
- (310) 651-2280
- Fax
- (310) 651-2260
- NPI assigned
- Oct 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3404 | CA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 200960007CRNA | OR |
Addresses
Primary practice location
450 N Roxbury Dr
Suite 600
Beverly Hills, CA 90210-4232
Mailing address
7254 Hollywood Blvd Apt 4
Los Angeles, CA 90046-3117
Phone (323) 876-7934
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
- Certified Registered Nurse, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200960007CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Regents of the University of California | 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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1326096165
Nurse Anesthetist, Certified Registered
-
- Pain Medicine Physician
- Los Angeles, CA
- NPI 1699224808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1174607667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7254 HOLLYWOOD BLVD APT 4",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900463117",
"telephone_number": "323-876-7934",
"fax_number": "323-876-7934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N ROXBURY DR",
"address_2": "SUITE 600",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104232",
"telephone_number": "310-651-2280",
"fax_number": "310-651-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "CRNA, M.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "3404",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "200960007CRNA",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.