Active NPI
Elizabeth Olson
- Physician Assistant
- Beverly Hills, CA
National Provider Identifier
1427672955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 60006
- Practice address
- 436 N Bedford Dr Ste 306
Beverly Hills, CA 90210-4320 - Phone
- (310) 933-3455
- NPI assigned
- Jun 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 60006 | CA | Primary |
Addresses
Primary practice location
436 N Bedford Dr Ste 306
Beverly Hills, CA 90210-4320
Mailing address
2021 Santa Monica Blvd Ste 600E
Santa Monica, CA 90404-2166
Phone (301) 828-2282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
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- Los Angeles, CA
- NPI 1649998022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1427672955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 SANTA MONICA BLVD STE 600E",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042166",
"telephone_number": "301-828-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 N BEDFORD DR STE 306",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104320",
"telephone_number": "310-933-3455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "60006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.