Active NPI
Greg S Olsen, D.C.
- Chiropractor
- Lake Forest, CA
National Provider Identifier
1750300570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 23675
- Practice address
- 22672 Lambert St
Suite 620
Lake Forest, CA 92630-1613 - Phone
- (949) 859-5192
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 23675 | CA | Primary |
Addresses
Primary practice location
22672 Lambert St
Suite 620
Lake Forest, CA 92630-1613
Mailing address
22672 Lambert St
Suite 620
Lake Forest, CA 92630-1613
Phone (949) 859-5192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23675 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750300570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22672 LAMBERT ST",
"address_2": "SUITE 620",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301613",
"telephone_number": "949-859-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22672 LAMBERT ST",
"address_2": "SUITE 620",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301613",
"telephone_number": "949-859-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "GREG",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "23675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.