Individual provider Active NPI

Daniel Olson

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1700232022
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A167655 Issued in CA
Practice address
375 Laguna Honda Blvd
San Francisco, CA 94116-1411
Phone
(415) 759-2300
NPI assigned
May 5, 2016
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A167655 CA Primary

Addresses

Primary practice location

375 Laguna Honda Blvd
San Francisco, CA 94116-1411

Mailing address

1597 22ND Ave
San Francisco, CA 94122-3337
Phone (415) 203-9926

Other practice location 1

2311 Loveridge Rd
Pittsburg, CA 94565-5117
Phone (925) 431-2633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200911000650 HI Practitioner - Psychiatry 8628496387 Reassigns benefits to 1 organization
I20210824002719 CA Practitioner - Psychiatry 8628496387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albany Medical College of Union University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (415) 206-2305

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A167655CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Therapeutics Psychiatry CurrentSince Aug 14, 2020 Accepting new patients
Santa Barbara County County Auditor Current Accepting new patients
Santa Barbara County Department of Behavioral Wellness CurrentSince Apr 27, 2021 Accepting new patients
City and County of San Francisco CurrentSince Apr 15, 2024 Accepting new patients
City & County of San Francisco CurrentSince Apr 15, 2024 Accepting new patients
Santa Barbara County Auditor CurrentSince Apr 27, 2021 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300

760 Harrison St
San Francisco, CA 94107
Phone (415) 836-1700

2034 De la Vina St
Santa Barbara, CA 93105
Phone (805) 681-5450

429 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 884-1600

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

1164 Bishop St
Ste 1611
Honolulu, HI 96813
Phone (808) 261-7792

40 Aulike St
Ste 312
Kailua, HI 96734
Phone (808) 261-7792

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1700232022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 22ND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223337",
            "telephone_number": "415-203-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 LAGUNA HONDA BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161411",
            "telephone_number": "415-759-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 Loveridge Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "CA",
            "postal_code": "945655117",
            "country_code": "US",
            "telephone_number": "925-431-2633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A167655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.