Ingrid M Olsson, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1516 Issued in NH

Practice address

255 E Bonita Ave BLDG 9
Pomona, CA 91767-1923

Phone

(909) 301-8897

NPI assigned

Sep 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scott C Lederhaus MD and Lew B Disney MD PRT Lederhaus Scott C Gen PTRGroup PAC ID 2961445267, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Casa Colina Hospital Hospital, Pomona, CA, CCN 050782

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: casacolina@direct.casacolina.org

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.

• Scott C Lederhaus MD & Lew B Disney MD PRT Lederhaus Scott C Gen PTR

  • Neurological Surgery Physician
  • Pomona, CA
  • NPI 1871646679
  Medicare reassignment Care Compare group
• Casa Colina Hospital and Centers for Healthcare

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1952777245
  NPD
• Scott C Lederhaus MD & Lew B Disney MD PRT Lederhaus Scott C Gen PTR

  • Specialist
  • Pomona, CA
  • NPI 1194826503
  NPD (past)

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

• Casa Colina Hospital and Centers for Healthcare

  • Rehabilitation Hospital
  • Pomona, CA
  • NPI 1821075870
  Care Compare affiliation
• Casa Colina Hospital and Centers for Healthcare

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1952777245
  Care Compare affiliation

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1477062693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 4TH ST APT G306",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300909",
            "telephone_number": "603-718-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE BLDG 9",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-301-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSSON",
        "first_name": "INGRID",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "1516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Olive
• Bianca Oliver, PHARM.D
• Eric Brett Oliver, PA-C
• Angela Guadalupe Oliveros
• Christian Olsen
• Oluwole Oluseyi Olusola, M.D.
• Alyssa Olvera
• Alyssa Olvera
• Ivonne Andrea Omana
• Michael Gregory Omoyele

• Surgical Physician Assistant in Pomona, CA
• Providers in Pomona, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.