Individual provider Active NPI

Cyndie O'Connell-Jobb, PA

  • Physician Assistant
  • Ramona, CA
National Provider Identifier
1265659742
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13463 Issued in CA
Practice address
1834 Main St
Ramona, CA 92065-2522
Phone
(760) 789-2629
Fax
(760) 788-9895
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13463 CA Primary

Addresses

Primary practice location

1834 Main St
Ramona, CA 92065-2522

Mailing address

1834 Main St
Ramona, CA 92065-2522
Phone (760) 789-2629

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
I20050201001036 CA Practitioner - Physician Assistant 6103877782

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1834 Main St
Ramona, CA 92065-2522

Hospital & facility affiliations

  • Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13463CAMDPsychologist
PA13463CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: cyndie.oconnelljobb.p1@direct.arch.nextgenshare.com

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1265659742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 MAIN ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652522",
            "telephone_number": "760-789-2629",
            "fax_number": "760-788-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 MAIN ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652522",
            "telephone_number": "760-789-2629",
            "fax_number": "760-788-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL-JOBB",
        "first_name": "CYNDIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramona, CA

Sources for this page

Verify at the official NPI Registry.