Look up the most recent NPI and PECOS records

Tristan Olson

Social Worker

Behavioral Health & Social Service Providers

400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962

PECOS Enrollment

Based on the most recent information from CMS, provider Tristan Olson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1396290920
Provider Type
Individual
Full Name
Olson, Tristan
Gender
Male

Sole Proprietor
No
Enumeration Date
8/24/2016
Last Updated
2/6/2025

Contact Information

Practice Location

400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962

(510) 924-0548

Unlisted Fax

Mailing Location

400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962

(510) 924-0548

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCSW121875 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Tristan Olson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Torrez, Kimberly

Lone Chief, Arnetta

Williams, Valerie Anne

Gil, Jesenia Janeth

Sklar, Rebecca April

Castello, Jennifer Rae

Lee, Joanne

Stamnes, Catherine E

Bartenstein, Debra Ann

Shing, Susan V.L.