Individual provider Active NPI

William Albert Olson, DDS

  • Dentist
  • San Diego, CA
National Provider Identifier
1710288147
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DU35580 Issued in CA
Practice address
7319 Clairemont Mesa Blvd.
San Diego, CA 92111
Phone
(858) 569-9651
Fax
(858) 576-1884
NPI assigned
Nov 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DU35580 CA Primary

Addresses

Primary practice location

7319 Clairemont Mesa Blvd.
San Diego, CA 92111

Mailing address

7319 Clairemont Mesa Blvd.
San Diego, CA 92111
Phone (858) 569-9651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201002933 CA Practitioner - Dentist 6406136241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DU35580CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
I Zak DDS Prof Dental Corp Dentist CurrentSince Dec 19, 2023 Accepting new patients
I Zak DDS Prof Dental Corp Dentist Current Accepting new patients
I Zak DDS Prof Dental Corp Dentist CurrentSince Dec 19, 2023 Accepting new patients
Richard D Katnik DDS Inc Past Accepting new patients
I Zak DDS Prof Dental Corp Dentist PastSince Apr 3, 2022 Accepting new patients

Locations

10501 Lakewood Blvd
Downey, CA 90241
Phone (562) 862-2341

10501 Lakewood Blvd
#B
Downey, CA 90241
Phone (562) 862-2341

3620 Long Beach Blvd
Ste B6
Long Beach, CA 90807
Phone (562) 426-6458

4167 Ohio St
San Diego, CA 92104
Phone (619) 281-6635

5168 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 683-5300

3355 Cochran St
Ste 206
Simi Valley, CA 93063
Phone (805) 520-1100

41593 Winchester Rd
Ste 211
Temecula, CA 92590
Phone (562) 862-2341

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1710288147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 CLAIREMONT MESA BLVD.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "858-569-9651",
            "fax_number": "858-576-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 CLAIREMONT MESA BLVD.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "858-569-9651",
            "fax_number": "858-576-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "WILLIAM",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DU35580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.