Organization Active NPI

Bruce a. Olson D.P.M., Inc.

  • Podiatrist
  • Oxnard, CA
National Provider Identifier
1497873129
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BRUCE A. OLSON D.P.M., INC.
Practice address
2035 Saviers Rd
Suite 5
Oxnard, CA 93033-3650
Phone
(805) 486-8710
Fax
(805) 486-2856
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Bruce Alton Olson, D.P.M.
Title
Podiatrist
Phone
(805) 486-8710

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X CA Primary
Durable Medical Equipment & Medical Supplies 332B00000X E1206 CA

Addresses

Primary practice location

2035 Saviers Rd
Suite 5
Oxnard, CA 93033-3650

Mailing address

2035 Saviers Rd
Suite 5
Oxnard, CA 93033-3650
Phone (805) 486-8710

Other identifiers 1

IdentifierTypeStateIssuer
000E12060MedicaidCA

National Provider Directory

National Provider Directory

Locations

2035 Saviers Rd
Ste 5
Oxnard, CA 93033
Phone (805) 486-8710

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497873129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 SAVIERS RD",
            "address_2": "SUITE 5",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930333650",
            "telephone_number": "805-486-8710",
            "fax_number": "805-486-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 SAVIERS RD",
            "address_2": "SUITE 5",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930333650",
            "telephone_number": "805-486-8710",
            "fax_number": "805-486-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A. OLSON D.P.M., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALTON",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "805-486-8710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "E1206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E12060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.