Jill O'Brien, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

729 Issued in OK

Practice address

1 Lmu Dr
Los Angeles, CA 90045-2650

Phone

(310) 338-2340

Fax

(310) 338-5191

NPI assigned

Dec 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1326384058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12239 W WASHINGTON BLVD",
            "address_2": "APT B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665518",
            "telephone_number": "805-801-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LMU DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452650",
            "telephone_number": "310-338-2340",
            "fax_number": "310-338-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JILL",
        "name_prefix": "Miss",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn O'Brien Price
• Brigid Ellen O'Brien, D.O.
• Erin O'Brien, LMFT
• H R Christopher O'Brien, PHARM.D, BCPP, APH
• Jeremy Cole O'Brien, LCSW, MSW
• Kissten O'Brien
• Lauren Irene O'Brien, M.D.
• Mary P O'Brien, PHD
• Meghan O'Brien, CCC-SLP
• Patricia Edwina O'Brien, PH.D

• Athletic Trainer in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.