Evangelina Dori Olson, BSW

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1803 W March LN Ste C&D
Stockton, CA 95207-6414

Phone

(209) 636-5353

Fax

(209) 636-5354

NPI assigned

Sep 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Evangelina Dori Solano Rosas Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Turning Point Community Programs

  • Community/Behavioral Health Agency
  • Stockton, CA
  • NPI 1497218861
  NPD (past)

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1396220331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 W MARCH LN STE C&D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076414",
            "telephone_number": "209-636-5353",
            "fax_number": "209-636-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 W MARCH LN STE C&D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076414",
            "telephone_number": "209-636-5353",
            "fax_number": "209-636-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "EVANGELINA",
        "middle_name": "DORI",
        "name_prefix": "Mrs.",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evitaolson@tpcp.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1803 W March Ln Ste C&d",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952076414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EVANGELINA",
            "last_name": "SOLANO ROSAS",
            "middle_name": "DORI",
            "prefix": "MS.",
            "credential": "BT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ricardo Olmos
• John O Olowoyeye, MD
• Max Ryan Olsen, BA
• Michael Olsen, PHARM.D.
• Chad D. Olson
• Julianna Olson, LVN
• Kathryn Olson
• Cierra A Olvera
• Ofunneka Omekam, RD
• Josephine N Omlin

• Student in an Organized Health Care Education/Training Program in Stockton, CA
• Providers in Stockton, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.