Jonathan Trevor Olevson

Primary specialty

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

Practice address

1680 N Fair Oaks Ave
Pasadena, CA 91103-1642

Phone

(626) 789-0884

NPI assigned

Sep 10, 2021

Last updated

Aug 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1578232682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 N GOWER ST APT 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286457",
            "telephone_number": "323-683-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031642",
            "telephone_number": "626-789-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEVSON",
        "first_name": "JONATHAN",
        "middle_name": "TREVOR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-10",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "B00003751224",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald P Olah, MD
• N Olatunji Olambiwonnu, M.D.
• Daisy Olaya
• Chantal Johanna Olenczuk, OTR/L
• Yolanda Oleniacz
• Jonathan Alfredo Oliden Cortez, BS
• Atalie Oliva
• Christopher Emralino Oliva, SUDRC
• Mia Oliva
• Nancy Oliva

• Student in an Organized Health Care Education/Training Program in Pasadena, CA
• Providers in Pasadena, 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 Aug 27, 2025; 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.