THEODORE OLSON M.D.
NPI 1417041591
Specialist in Santa Rosa, CA

Active since October 03, 2006
196 SOTOYOME ST, SANTA ROSA, CA 95405(707) 528-0565(707) 528-6403 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theodore Olson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE OLSON M.D. (NPI 1417041591) is an individual specialist in Santa Rosa, California, licensed in California (A212232) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417041591
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameTHEODORE OLSONCredential: M.D.
Location Address196 SOTOYOME STSanta Rosa, CA 95405-4800
Mailing Address1900 University Ave, Ste 101E Palo Alto, CA 94303-2212 · (650) 494-1000 · Fax (650) 322-8228
Fax(707) 528-6403
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417041591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A212232
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

196 SOTOYOME ST, Santa Rosa, CA 95405

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
196 SOTOYOME ST
SANTA ROSA, CA 95405
Specialist
196 SOTOYOME ST
SANTA ROSA, CA 95405
Otolaryngology
196 SOTOYOME ST
SANTA ROSA, CA 95405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Olson's NPI number?

The NPI number for Theodore Olson is 1417041591. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Theodore Olson located?

Theodore Olson practices at 196 Sotoyome St, Santa Rosa, CA 95405. The listed phone number is (707) 528-0565.

What is Theodore Olson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Theodore Olson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.