Individual provider Active NPI

Nicole O'Donnell, NP

  • Family Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1043708456
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95008764 Issued in CA
Practice address
7740 Rancho Santa Fe Rd
Carlsbad, CA 92009-8685
Phone
(858) 457-4480
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95008764 CA
Family Nurse Practitioner 363LF0000X 95008764 CA
Family Nurse Practitioner 363LF0000X NP95008764 CA Primary

Addresses

Primary practice location

7740 Rancho Santa Fe Rd
Carlsbad, CA 92009-8685

Mailing address

7740 Rancho Santa Fe Rd
Carlsbad, CA 92009-8685
Phone (858) 457-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180516002634 CA Practitioner - Nurse Practitioner 5092079285 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthcareGroup PAC ID 5294649406, 153 clinicians

Practice addresses (Care Compare)

460 N Elm St
Escondido, CA 92025-3002
Phone (760) 520-8100

855 E Madison Ave
El Cajon, CA 92020-3819
Phone (619) 440-2751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95008764CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of California, a Medical Corporation CurrentSince Oct 3, 2022 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Nurse Practitioner CurrentSince May 1, 2020 Accepting new patients
American Current Care of California, a Medical Corporation Current Accepting new patients
Neighborhood Healthcare CurrentSince Aug 3, 2024 Accepting new patients
Neighborhood Healthcare CurrentSince Aug 3, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince May 15, 2021 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Nov 3, 2020 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Oct 3, 2022 Accepting new patients

Locations (25 of 36)

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617

7740 Rancho Santa Fe Rd
Carlsbad, CA 92009
Phone (760) 753-5115

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751

488 E Valley Pkwy
Ste 411
Escondido, CA 92025
Phone (760) 525-1079

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

215 S Hickory St
Escondido, CA 92025
Phone (619) 354-3833

425 N Date St
#0
Escondido, CA 92025

987 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 570-4631

2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400

8831 Villa La Jolla Dr
La Jolla, CA 92037
Phone (858) 457-4480

1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711

25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070

3910 Vista Way
Ste 106
Oceanside, CA 92056
Phone (760) 941-2000

1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799

1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234

640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

1350 Florin Rd
Sacramento, CA 95822
Phone (916) 392-5184

1792 Garnet Ave
San Diego, CA 92109
Phone (858) 483-1489

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1043708456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 RANCHO SANTA FE RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098685",
            "telephone_number": "858-457-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 RANCHO SANTA FE RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098685",
            "telephone_number": "858-457-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95008764",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008764",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95008764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.