Individual provider Active NPI

Elis Yngve Olson, MD

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Madera, CA
National Provider Identifier
1285629923
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
G157727 Issued in CA
Practice address
9300 Valley Childrens PL
Madera, CA 93636-8761
Phone
(559) 353-5700
Fax
(559) 353-5708
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X 00020602 AL
Emergency Medicine Physician 207P00000X 00020602 AL
Pediatrics Physician 208000000X 15576 NV
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 15576 NV
Pediatrics Physician 208000000X G157727 CA
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 75935 MN
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 0101264310 VA
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 9900314 NC
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X MD486821C PA
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X G157727 CA Primary

Addresses

Primary practice location

9300 Valley Childrens PL
Madera, CA 93636-8761

Mailing address

PO Box 43
Minneapolis, MN 55440-0043
Phone (612) 262-1166

Other practice location 1

1300 Sentara Park # 3
Virginia Beach, VA 23464-5884
Phone (757) 252-3050

Other practice location 2

101 Sivley Rd SW
ER Dept
Huntsville, AL 35801-4421
Phone (256) 265-9905

Other practice location 3

1401 Roosevelt Ave
York, PA 17404-2244
Phone (877) 232-5807

Other practice location 4

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (651) 241-9700

Other identifiers 9

IdentifierTypeStateIssuer
000032416MedicaidAL
200174262OtherALCHAMPUS
4297420OtherALAETNA
N18178OtherALMAILHANDLERS
051032416OtherALBCBS
200174262OtherALTRICARE
2011312OtherALUNITED HEALTH CARE
009939515MedicaidAL
051518178OtherALBCBS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, UT, PA, LA, CA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20040510000749 AL Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 0648269282 Reassigns benefits to 2 organizations
I20240828001193 UT Practitioner - Pediatric Medicine 0648269282 Reassigns benefits to 1 organization
I20241023001441 PA Practitioner - Pediatric Medicine 0648269282
I20241104003281 LA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 0648269282 Reassigns benefits to 1 organization
I20250321001158 CA Practitioner - Family Practice 0648269282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00020602ALMDPediatric Anesthesiology Physician
G157727CAMDPediatrics Physician
15576NVMDPediatrics Physician
MD486821CPAMDPediatric Emergency Medicine (Pediatrics) Physician
0101264310VAMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince Mar 1, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 16, 2024 Accepting new patients
Svmhs Clinics CurrentSince Mar 1, 2025 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
University of South Alabama Family Medicine Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 3, 2024 Accepting new patients
Carolinas Physicians Network, Inc Family Medicine CurrentSince Sep 3, 2024 Accepting new patients
University of South Alabama Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Ucm Medical Group Sub, LLC Family Medicine CurrentSince Nov 15, 2024 Accepting new patients
USA Health Physician Billing Services LLC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Central Washington Health Services Association CurrentSince Aug 1, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 16, 2024 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Dec 1, 2019 Accepting new patients
University of South Alabama Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Tennessee Valley Pediatric Sedation Services Past Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Locations

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

355 Abbott St
Ste 100
Salinas, CA 93901
Phone (831) 751-7070

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

19550 Governors Hwy
Ste 2000
Flossmoor, IL 60422
Phone (708) 272-6606

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4015 Gateway Blvd
Ste 2120
Newburgh, IN 47630
Phone (812) 492-5457

1514 Jefferson Hwy
New Orleans, LA 70121

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: eolson66044@valleychildrens-prd.direct-ci.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1285629923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400043",
            "telephone_number": "612-262-1166",
            "fax_number": "612-262-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5700",
            "fax_number": "559-353-5708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Sentara Park # 3",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234645884",
            "country_code": "US",
            "telephone_number": "757-252-3050",
            "fax_number": "757-222-3106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Sivley Rd SW",
            "address_2": "ER Dept",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014421",
            "country_code": "US",
            "telephone_number": "256-265-9905",
            "fax_number": "256-265-9910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174042244",
            "country_code": "US",
            "telephone_number": "877-232-5807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2925 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554071321",
            "country_code": "US",
            "telephone_number": "651-241-9700",
            "fax_number": "651-241-9683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ELIS",
        "middle_name": "YNGVE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "AL",
            "license": "00020602",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00020602",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "15576",
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NV",
            "license": "15576",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G157727",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MN",
            "license": "75935",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "VA",
            "license": "0101264310",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NC",
            "license": "9900314",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "PA",
            "license": "MD486821C",
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "CA",
            "license": "G157727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000032416",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "200174262",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4297420",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS",
            "identifier": "N18178",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051032416",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "200174262",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2011312",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939515",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "051518178",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.