Olivia Fellus, L.A.C, DIPL.OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

17154 Issued in CA

Practice address

3436 Utah St
San Diego, CA 92104-4110

Phone

(619) 987-8967

NPI assigned

Dec 1, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543622400000",
    "number": "1538639653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W HARBOR DR UNIT 1404",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 UTAH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044110",
            "telephone_number": "619-987-8967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5677 Oberlin Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921211741",
            "country_code": "US",
            "telephone_number": "619-987-8967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLUS",
        "first_name": "OLIVIA",
        "credential": "L.A.C, DIPL.OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-01",
        "last_updated": "2018-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Fellenz
• Karli Fellmann
• Jake Fellow, DPT
• John E. Fellow, M.D.
• David Fellows
• Christina Felonis
• Joseph Felt, PHARMD
• Richard Feltman, PH.D.
• Preston Felts, RN
• Alexandra Felty, LPCC

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; 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.