Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ingrid M Olsson, PA-C

Individual provider Surgical Physician Assistant · NPI 1477062693

Ingrid M Olsson, PA-C is a Physician Assistant in Pomona, California. Qualified in 2016, 10 years ago. Practices with Scott C Lederhaus MD and Lew B Disney MD Prt Lederhaus Scott C Gen Ptr, a 14-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
10
Licensed in
NH
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

255 E Bonita Ave Bldg 9
Pomona, CA 91767-1923
Phone: (909) 301-8897
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1516 (NH)

Record details

NPI number1477062693
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2017
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Scott C Lederhaus Md And Lew B Disney Md Prt Lederhaus Scott C Gen Ptr — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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