Kent Russell Olson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G39696 Issued in CA

Practice address

Poison Control Ctr
UCSF Box 1369
San Francisco, CA 94143-1369

Phone

(415) 502-6002

NPI assigned

Nov 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1275524696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POISON CONTROL CTR",
            "address_2": "UCSF BOX 1369",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941431369",
            "telephone_number": "415-502-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POISON CONTROL CTR",
            "address_2": "UCSF BOX 1369",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941431369",
            "telephone_number": "415-502-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KENT",
        "middle_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G39696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G396960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G396960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Olson
• Jean L. Olson, M.D.
• Jonathan Olson
• Karen Marie Olson, MSW
• Katie Diane Olson, B.S., D.C.
• Kimberly Robin Olson, R.D.
• Kirstina Marie Olson, M.D.
• Kristoffer Eric Sison Olson
• Lauren E Olson, MD
• Luda Olson

• Emergency Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.