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ELIZABETH OLLE M.D
NPI 1780630103
Family Medicine in Fountain Valley, CA

Active since May 26, 2006PECOS Enrolled
18255 BROOKHURST ST, 100, FOUNTAIN VALLEY, CA 92708(714) 378-5330(714) 378-5320 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elizabeth Olle M.d NPPES

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

ELIZABETH OLLE M.D (NPI 1780630103) is an individual family medicine provider in Fountain Valley, California, licensed in California (20A7981) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780630103
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameELIZABETH OLLECredential: M.D
Location Address18255 BROOKHURST ST, 100Fountain Valley, CA 92708-6771
Mailing AddressPo Box 3699Newport Beach, CA 92659-8699 · (714) 378-5330 · Fax (714) 378-5320
Phone(714) 378-5330
Fax(714) 378-5320
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateDecember 9, 2021
✔ NPI 1780630103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A7981
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
18255 BROOKHURST ST, Fountain Valley, CA 92708
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Olle M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Olle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
339 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MISS ELISABETH VANESSA MALIN M.D.
Pediatrics
18255 BROOKHURST ST, SUITE 100
FOUNTAIN VALLEY, CA 92708
Orange County (714) 378-5330

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 Elizabeth Olle's NPI number?

The NPI number for Elizabeth Olle is 1780630103. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Elizabeth Olle located?

Elizabeth Olle practices at 18255 Brookhurst St 100, Fountain Valley, CA 92708. The listed phone number is (714) 378-5330.

What is Elizabeth Olle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elizabeth Olle enrolled in Medicare?

Yes. Elizabeth Olle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Olle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Olle reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Olle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Olle was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.