KELLY ERIN OLSON


Address: 2525 Erringer Rd, Simi Valley, CA 93065-2352
Phone: 8055271404

KELLY ERIN OLSON (NPI# 1669027025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669027025
Entity Type Individual
Full Name KELLY ERIN OLSON
Credential PA-C
Practice Address 2525 Erringer Rd
Simi Valley
CA 93065-2352
Mailing Address 5720 Ralston St Ste 200
Ventura
CA 93003-7844
Practice Telephone 8055271404
Practice Fax Number 8055275246
Mailing Telephone 8058044168
Mailing Fax Number 8058301177
Enumeration Date 2019-08-02
Last Update Date 2020-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA DEA MO5540845 01
CA STATE LICENSE 57237 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2230 Lynn Rd Ste 220, Thousand Oaks, CA 913601985 8053794574 8053794324

Other Providers KELLY OLSON

NPI Name Taxonomy Address Enumeration
1992286892 Kelly Ann Olson Student in an Organized Health Care Education/Training Program 1692 E 53rd St, Brooklyn, NY 11234-3917 2018-08-28
1528450756 Kelly Elizabeth Olson Speech-Language Pathologist 5433 55th Ave Nw, Rochester, MN 55901-5001 2015-02-25
1033469408 Kelly Lynn Olson Licensed Practical Nurse 1622 Randy Ln, Madison, WI 53704-2045 2012-09-13
1952682593 Kelly Ann Clevenger Olson Counselor 1000 E 24th Street, Unit 2d, Kansas City, MO 64108 2011-09-08
1265926604 Kelly Olson Pathology Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 2018-06-19
1396160909 Kelly R. Olson Physical Therapist 3277 E Louise Dr, Suite 410, Meridian, ID 83642-9359 2014-02-19
1508208315 Kelly Camille Olson Counselor 38 Pond St, Franklin, MA 02038-3807 2013-07-22
1104100718 Kelly J Olson Nurse Practitioner 1700 W Stout St, Rice Lake, WI 54868-5000 2011-09-30
1649577289 Kelly Olson Counselor 770 E Main St # 215, Lehi, UT 84043-2293 2011-02-17
1902118037 Kelly Anne Taylor Olson Physician Assistant 1836 South Ave, La Crosse, WI 54601-5429 2010-07-06

Office Location

Street Address 2525 ERRINGER RD
City SIMI VALLEY
State CA
Zip Code 93065-2352

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497754832 Jacqueline Suzanne Rood Physical Therapist 2525 Erringer Rd, Simi Valley, CA 93065-2352 2005-07-19
1306493267 Zade Neil Batarseh Physician Assistant 2525 Erringer Rd, Simi Valley, CA 93065-2352 2019-08-23
1225685910 Alison Marie Mosier Physical Therapist 2525 Erringer Rd, Simi Valley, CA 93065-2352 2019-08-19
1629531454 Ventura Orthopedics Medical Group, Inc. Specialist 2525 Erringer Rd, Simi Valley, CA 93065-2352 2019-04-09
1568930402 Quynh-chau Hoang Physician Assistant 2525 Erringer Rd, Simi Valley, CA 93065-2352 2018-11-08
1457863094 Allan Waylee Kwok Physical Therapist 2525 Erringer Rd, Simi Valley, CA 93065-2352 2017-11-03
1801262126 Lauren Christine Strickler Physical Therapist 2525 Erringer Rd, Simi Valley, CA 93065-2352 2015-08-20
1922499961 Palita Khaledy Occupational Therapist 2525 Erringer Rd, Simi Valley, CA 93065-2352 2015-02-12
1104228766 Breanna Langel Physical Therapist 2525 Erringer Rd, Simi Valley, CA 93065-2352 2014-09-25
1184964066 Payam Kashfian, M.d., Inc. Radiology 2525 Erringer Rd, Suite A, Simi Valley, CA 93065-2352 2013-02-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992312243 Healing Hands Health Care Corp Hospice Care, Community Based 585 E. Los Angeles Ave, Suite H-b, Simi Valley, CA 93065 2020-09-29
1487261731 Healing Love Health Care Services, Inc. Hospice Care, Community Based 585 E. Los Angeles Ave., Suite H - A, Simi Valley, CA 93065 2020-09-29
1528682499 Nicole G. Nalbandian Dentist First Street Dental Group and Orthodontics, 1197 E Los Angeles Ave Ste E, Simi Valley, CA 93065 2020-06-05
1316597230 K-clear Nursing Inc Family Medicine 1822 Springgate Ln Unit G., Simi Valley, CA 93065 2019-09-12
1780242313 Valencia Medical Inc Family Medicine 1526 Patricia Ave, Unit 159, Simi Valley, CA 93065 2019-05-29
1962920553 Taylor Pediatrics Pediatrics 2755 Alamo Street Ste: 201, Simi Valley, CA 93065 2017-09-02
1487181301 Renee Brooks Marriage & Family Therapist Ventura County Behavioral Health, 1227 E. Los Angeles Ave., Simi Valley, CA 93065 2017-05-23
1225577208 Amanda Blake Dietitian, Registered 2592 Victoria St, Simi Valley, CA 93065 2017-02-23
1245778364 Tyler James Arauza Behavior Technician 2856 Thicket Pl., Simi Valley, CA 93065 2017-02-09
1992169007 Sahar Yaftaly Dentist 2045 Royal Ave Ste 109, Simi Valley, CA 93065 2016-04-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932628112 James Luong Physician Assistant 3125 Anasazi Way, Simi Valley, CA 93063 2017-09-19
1275905960 Heather Veitch Physician Assistant 1806 Wallace St, Simi Valley, CA 93065 2015-10-21
1992175434 Nancy Menges Physician Assistant 2925 Sycamore Dr Ste 204-205, Simi Valley, CA 93065-1207 2015-09-27
1851693451 Nazaneen Cauthron Physician Assistant 2755 Alamo St Ste 100, Simi Valley, CA 93065-1345 2010-12-02
1124290093 Aaron Highsmith Physician Assistant 2515 Glenhurst Ct, Simi Valley, CA 93063-5319 2008-03-31
1497748149 Mark B Oechsli Physician Assistant 4531 Alamo St, Sierra Vista Family Medical Clinic, Simi Valley, CA 93063 2005-08-29
1336773811 Maria Daniela Burbano Pimentle Physician Assistant 1424 Madera Rd, Simi Valley, CA 93065-3053 2020-02-24
1306493267 Zade Neil Batarseh Physician Assistant 2525 Erringer Rd, Simi Valley, CA 93065-2352 2019-08-23
1790332245 John Clayton Zimbardo Physician Assistant 2975 Sycamore Dr, Simi Valley, CA 93065-1201 2019-08-20
1568930402 Quynh-chau Hoang Physician Assistant 2525 Erringer Rd, Simi Valley, CA 93065-2352 2018-11-08
Find all providers in SIMI VALLEY

Competitor

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City SIMI VALLEY
Zip Code 93065

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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