NPIMap

Individual provider Active NPI

David A Olson, MD

  • Internal Medicine Physician
  • Oakdale, CA
National Provider Identifier
1346252525
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G40340 Issued in CA
Practice address
232 W F St
Oakdale, CA 95361-3844
Phone
(209) 848-2273
Fax
(209) 848-0242
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G40340 CA Primary
Infectious Disease Physician 207RI0200X G403400 CA

Addresses

Primary practice location

232 W F St
Oakdale, CA 95361-3844

Mailing address

PO Box 2156
Oakdale, CA 95361-5156
Phone (209) 848-2273

Other identifiers 2

IdentifierTypeStateIssuer
00G403400MedicaidCA
CA179077OtherCAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061227000209 CA Practitioner - Internal MedicinePractitioner - Infectious Disease 5698713469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Jefferson Medical College of Thomas Jefferson University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David a Olson MD a Professional CorporationGroup PAC ID 7618278052, 2 clinicians

Practice addresses (Care Compare)

232 W F St
Oakdale, CA 95361-3844
Phone (209) 848-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.47 of 100Reported as individual
Quality
90.98
Promoting interoperability
86
Improvement activities
40
Cost
72.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G403400CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Olson, MD, a Professional Corporation CurrentSince Nov 22, 1996 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients

Locations

232 W F St
Oakdale, CA 95361
Phone (209) 848-1582

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dao102pcs@m1070.primeclinicalsystems.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1346252525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2156",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953615156",
            "telephone_number": "209-848-2273",
            "fax_number": "209-848-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W F ST",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613844",
            "telephone_number": "209-848-2273",
            "fax_number": "209-848-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G40340",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G403400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G403400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA179077",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

Verify at the official NPI Registry.