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

Q: 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.

Q: What is Theodore Olson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theodore Olson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(707) 528-0565

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

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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.

DR. CHRISTY HELEN COOPER AU.D.

Audiologist

196 SOTOYOME ST
SANTA ROSA, CA 95405

Sonoma County (707) 528-0565

CALIFORNIA EAR INSTITUTE, INC.

Specialist

196 SOTOYOME ST
SANTA ROSA, CA 95405

Sonoma County (707) 528-0565

DOUGLAS SCOTT HOFFMAN MD

Otolaryngology

196 SOTOYOME ST
SANTA ROSA, CA 95405

Sonoma County (707) 528-0565

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.