Organization Active NPI

Robert D. Olson Integrative Chiropractic Inc

  • Chiropractor
  • San Marcos, CA
National Provider Identifier
1679926604
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROBERT D. OLSON INTEGRATIVE CHIROPRACTIC INC
Practice address
955 Boardwalk Ste 305
San Marcos, CA 92078-2659
Phone
(858) 436-7600
Fax
(760) 797-1845
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Robert D Olson, DCNPI 1922045046
Title
Officer
Phone
(858) 436-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X CA

Addresses

Primary practice location

955 Boardwalk Ste 305
San Marcos, CA 92078-2659

Mailing address

PO Box 546
Cardiff, CA 92007-0546
Phone (858) 436-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160810000540 CA Part B Supplier - Clinic/Group Practice 3173817491 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: San Marcos, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Robert D Olson Integrative Chiropractic Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

955 Boardwalk
Ste 305
San Marcos, CA 92078
Phone (760) 940-0500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1679926604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920070546",
            "telephone_number": "858-436-7600",
            "fax_number": "760-797-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BOARDWALK STE 305",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782659",
            "telephone_number": "858-436-7600",
            "fax_number": "760-797-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. OLSON INTEGRATIVE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "858-436-7600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.