Active NPI
Elis Yngve Olson, MD
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Madera, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- G157727
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000032416 | Medicaid | AL | |
| 200174262 | Other | AL | CHAMPUS |
| 4297420 | Other | AL | AETNA |
| N18178 | Other | AL | MAILHANDLERS |
| 051032416 | Other | AL | BCBS |
| 200174262 | Other | AL | TRICARE |
| 2011312 | Other | AL | UNITED HEALTH CARE |
| 009939515 | Medicaid | AL | |
| 051518178 | Other | AL | BCBS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, UT, PA, LA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00020602 | AL | MD | Pediatric Anesthesiology Physician |
| G157727 | CA | MD | Pediatrics Physician |
| 15576 | NV | MD | Pediatrics Physician |
| MD486821C | PA | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
| 0101264310 | VA | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Svmhs Clinics | Current | Accepting new patients | |
| Deaconess Specialty Physicians, Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Svmhs Clinics | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| University of South Alabama | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network, Inc | Family Medicine | Current | Accepting new patients |
| University of South Alabama | Emergency Medicine | Current | Accepting new patients |
| Ucm Medical Group Sub, LLC | Family Medicine | Current | Accepting new patients |
| USA Health Physician Billing Services LLC | Emergency Medicine | Current | Accepting new patients |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| University of South Alabama | Family Medicine | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Salinas, CA
- NPI 1093158347
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Family Medicine Physician
- Mobile, AL
- NPI 1992746838
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
Emergency Medicine
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1831158708
-
- Physical Therapist
- Salinas, CA
- NPI 1518486893
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
-
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1881642239
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1306344817
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.