Individual provider Active NPI

Robert Don Olson, D.C.,

  • Chiropractor
  • Vista, CA
National Provider Identifier
1922045046
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23676 Issued in CA
Practice address
906 Sycamore Ave
Suite 210
Vista, CA 92081-7828
Phone
(760) 940-0500
Fax
(760) 842-1518
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC23676 CA Primary

Addresses

Primary practice location

906 Sycamore Ave
Suite 210
Vista, CA 92081-7828

Mailing address

906 Sycamore Ave
Suite 210
Vista, CA 92081-7828
Phone (760) 940-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071207000904 CA Practitioner - Chiropractic 5890884282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert D Olson Integrative Chiropractic IncGroup PAC ID 3173817491, 2 clinicians

Practice addresses (Care Compare)

955 Boardwalk
Suite 305
San Marcos, CA 92078-2659
Phone (760) 940-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23676CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D. Olson Integrative Chiropractic Inc Chiropractor CurrentSince Jun 14, 2016 Accepting new patients
Robert D. Olson Integrative Chiropractic, Inc. CurrentSince Jun 14, 2016 Accepting new patients
Tri-City Hospital Past Accepting new patients
Robert D. Olson Integrative Chiropractic, Inc. Past Accepting new patients
Robert D. Olson Integrative Chiropractic Inc PastSince Sep 7, 2007 Accepting new patients

Locations

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

906 Sycamore Ave
Ste 210
Vista, CA 92081
Phone (760) 940-0500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1922045046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 SYCAMORE AVE",
            "address_2": "SUITE 210",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817828",
            "telephone_number": "760-940-0500",
            "fax_number": "760-842-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 SYCAMORE AVE",
            "address_2": "SUITE 210",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817828",
            "telephone_number": "760-940-0500",
            "fax_number": "760-842-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ROBERT",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "D.C.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.