Active NPI
Gregory James Olson
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
National Provider Identifier
1942763206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 4974 El Cajon Blvd Ste a
San Diego, CA 92115-4677 - Phone
- (619) 286-4600
- NPI assigned
- Apr 12, 2019
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
4974 El Cajon Blvd Ste a
San Diego, CA 92115-4677
Mailing address
4974 El Cajon Blvd Ste a
San Diego, CA 92115-4677
Phone (619) 286-4600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | golson@pms911.com | Other |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1942763206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4974 EL CAJON BLVD STE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154677",
"telephone_number": "619-286-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4974 EL CAJON BLVD STE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154677",
"telephone_number": "619-286-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "GREGORY",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-12",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "golson@pms911.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "golson@pms911.com",
"address_1": "4974 El Cajon Blvd Ste A",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921154677",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.