NPI Registry.org

Kelly Erin Olson

NPI Registration Record

Provider / OrganizationNPIDate Certified
KELLY ERIN OLSON16690270252022-10-01

Kelly Olson [F] graduated in 2019 and primarily specializes in Physician Assistant.

Kelly Erin Olson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669027025. Registration indicates Kelly Erin Olson is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

PECOS ID5597197194
RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider Name Kelly Erin Olson PA-C
Practice Office Address2525 ERRINGER RD
SIMI VALLEY, CA US
Practice Office Telephone8055271404
Practice Office Fax8055275246
Mailing Address5720 RALSTON ST STE 200
VENTURA, CA 930037844 US
Business Telephone8058044168
Business Fax8058301177
Offices / Locations
AddressCity / StatePhone / Fax
2230 Lynn Rd Ste 220 Thousand Oaks, CA 913601985 8053794574 / 8053794324
137 E Thousand Oaks Blvd Thousand Oaks, CA 913605707 8053794574 / 8053794324
Contact Endpoints
CONNECT URL []https://venturaortho.com/
CONNECT URL []venturaortho.com
HPT Codes
CodePractice
License No
State
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
OPI Codes
57237 OTHER CA STATE LICENSE
MO5540845 OTHER CA DEA
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