DR. MICHAEL OLSEN (NPI# 1740560275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740560275 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL OLSEN |
| Credential | PHARM.D. |
| Practice Address |
3415 Brookside Rd Stockton CA 95219-1785 |
| Practice Telephone | 2099515960 |
| Practice Fax Number | 2099515967 |
| Mailing Telephone | 2099515960 |
| Mailing Fax Number | 2099515967 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
65641 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REGISTERED PHARMACIST | 65641 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780042 | Michael James Olsen | Peer Specialist | 344 E 100 S Ste 301300, Salt Lake City, UT 84111-1700 | 2019-06-23 |
| 1942748165 | Michael Scott Olsen | Student in an Organized Health Care Education/Training Program | 1286 S 1175 E, Clearfield, UT 84015-1777 | 2017-02-08 |
| 1215907886 | Michael Stewart Olsen | Social Worker | 361 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2006-01-25 |
| 1558620096 | Michael S Olsen | Marriage & Family Therapist | 818 Commercial St, Ste 307, Astoria, OR 97103-4553 | 2012-05-03 |
| 1144423526 | Michael Scott Olsen | Emergency Medicine | Osf Saint Francis Medical Ctr, 530 Ne Glen Oak Avenue, Peoria, IL 61637 | 2007-06-06 |
| 1841400066 | Michael P. Olsen | Dentist | 1008 Main St, Onalaska, WI 54650-2741 | 2007-05-23 |
| 1184768913 | Michael Donovan Olsen | Marriage & Family Therapist | 535 S 2nd Ave, Covina, CA 91723-3013 | 2007-02-16 |
| 1356437891 | Michael Olsen | Family Medicine | 379 North 500 West, Suite 1a, Vernal, UT 84078 | 2006-10-04 |
| 1710990817 | Michael M Olsen | Family Medicine | 335 Highland Ave, Cheshire, CT 06410-2549 | 2006-08-13 |
| 1336180454 | Michael Stewart Olsen | Internal Medicine | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2006-06-09 |
| Street Address |
3415 BROOKSIDE RD |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-1785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386058 | Carly Anne Ranson | Pharmacist | 3601 Pacific Ave, Stockton, CA 95211-0197 | 2019-10-03 |
| 1467893792 | Nina Bich Thy Thuy Nguyen | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2013-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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| 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.