Individual provider Active NPI

Jennifer Ann Olson, MD

  • Pediatric Endocrinology Physician
  • Oakland, CA
National Provider Identifier
1194739540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
A055142 Issued in CA
Practice address
747 52ND Street
Chrco Endocrinology
Oakland, CA 94609-1809
Phone
(510) 428-3654
Fax
(510) 450-5614
NPI assigned
Jul 28, 2006
Sex
Female
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
Pediatric Endocrinology Physician 2080P0205X A055142 CA Primary

Addresses

Primary practice location

747 52ND Street
Chrco Endocrinology
Oakland, CA 94609-1809

Mailing address

747 52ND Street
Childrens Hospital and Research Center of Oakland Endoc
Oakland, CA 94609-1809
Phone (510) 428-3654

Other identifiers 1

IdentifierTypeStateIssuer
00A551420MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151105002280 CA Practitioner - Pediatric MedicinePractitioner - Endocrinology 6507176351 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Endocrinology
Education
Saint Louis University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Pediatrics AssociatesGroup PAC ID 6204749112, 102 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A055142CAMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Sep 30, 2015 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 3, 2020 Accepting new patients
UCSF Pediatrics Associates Pediatric Endocrinology CurrentSince Sep 30, 2015 Accepting new patients
University of California San Francisco Pediatric Endocrinology Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 3, 2020 Accepting new patients
University of California San Francisco CurrentSince Sep 30, 2015 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Children's Hospital & Research Center at Oakland Past Accepting new patients

Locations

5275 Claremont Ave
Oakland, CA 94618
Phone (510) 428-3050

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

2303 Camino Ramon
Ste 175
San Ramon, CA 94583
Phone (925) 979-3470

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194739540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 52ND STREET",
            "address_2": "CHILDRENS HOSPITAL AND RESEARCH CENTER OF OAKLAND ENDOC",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3654",
            "fax_number": "510-450-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND STREET",
            "address_2": "CHRCO ENDOCRINOLOGY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3654",
            "fax_number": "510-450-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "A055142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A551420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.