Robert M Olson III, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G56043 Issued in CA

Practice address

251 N Hwy 173
Lake Arrowhead, CA 92321-0716

Phone

(909) 336-3670

Fax

(909) 336-3674

NPI assigned

Jul 28, 2015

Last updated

Jul 28, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 11, 2019 through Jun 11, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Martin Rocha MD Inc

  • Pediatrics Physician
  • Lake Arrowhead, CA
  • NPI 1942599600
  NPD (past)

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1881079119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "city": "CEDAR GLEN",
            "state": "CA",
            "postal_code": "923210716",
            "telephone_number": "909-336-3670",
            "fax_number": "909-336-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N HWY 173",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923210716",
            "telephone_number": "909-336-3670",
            "fax_number": "909-336-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G56043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Anesthesia Care Inc
• Mountain Healthcare Inc (986 Pharmacy #8031)
• Mountains Comminity Hospital
• Desma S Nikas
• Jan Ochs, RDHAP
• Orthopaedic Medical Group of Riverside, Inc.
• Pamela Osborn, DPT
• Elizabeth Paganini, MA, CCC-SLP
• Michele Lee Pereira, LVN
• Richard Rankin, PH.D.

• General Practice Physician in Lake Arrowhead, CA
• Providers in Lake Arrowhead, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.