Individual provider Active NPI

Savanna Paige Olsson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Victorville, CA
National Provider Identifier
1245985464
Registry record updated Feb 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95020033 Issued in CA
Practice address
15434 W Sage St
Victorville, CA 92392-9751
Phone
(909) 653-2515
NPI assigned
Feb 16, 2022
Last updated
Feb 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95020033 CA Primary

Addresses

Primary practice location

15434 W Sage St
Victorville, CA 92392-9751

Mailing address

11283 Yucca Dr
Riverside, CA 92505-2253
Phone (720) 219-1650

Other practice location 1

1001 E Cooley Dr Ste 107
Colton, CA 92324-3941
Phone (909) 370-4700

Other names 1

  • Savanna Paige Hilles Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220324002884 CA Practitioner - Nurse Practitioner 8820483084 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Oct 25, 2022 Accepting new patients
Foothill Behavioral Health Consultants Inc CurrentSince Mar 1, 2022 Accepting new patients
Savanna Olsson, Pmhnp: a Professional Nursing Corporation CurrentSince Feb 24, 2022 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

15434 W Sage St
Victorville, CA 92392
Phone (760) 563-2875

15434 W Sage St
Ste 101
Victorville, CA 92392
Phone (760) 843-0506

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675468800000",
    "number": "1245985464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11283 YUCCA DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052253",
            "telephone_number": "720-219-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15434 W SAGE ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929751",
            "telephone_number": "909-653-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 E Cooley Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923243941",
            "country_code": "US",
            "telephone_number": "909-370-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSSON",
        "first_name": "SAVANNA",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2023-02-04",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95020033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNA",
            "last_name": "HILLES",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.