Active NPI
Mark C. O'Brien, D.O., Inc.
- Internal Medicine Physician
- Vista, CA
National Provider Identifier
1346060860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MARK C. O'BRIEN, D.O., INC.
- Practice address
- 161 Thunder Dr Ste 210
Vista, CA 92083-6052 - Phone
- (760) 889-1763
- NPI assigned
- Oct 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Conway O'Brien, DO
- Title
- President
- Phone
- (760) 889-1763
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
161 Thunder Dr Ste 210
Vista, CA 92083-6052
Mailing address
6786 Vermarine CT
Carlsbad, CA 92009-1705
Phone (760) 889-1763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Vista, CA
- NPI 1497744247
-
- Nurse Practitioner
- Carlsbad, CA
- NPI 1184163206
-
- Family Nurse Practitioner
- Oceanside, CA
- NPI 1457806366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728518400000",
"number": "1346060860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6786 VERMARINE CT",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920091705",
"telephone_number": "760-889-1763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 THUNDER DR STE 210",
"city": "VISTA",
"state": "CA",
"postal_code": "920836052",
"telephone_number": "760-889-1763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK C. O'BRIEN, D.O., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A",
"authorized_official_last_name": "O'BRIEN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "CONWAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-889-1763",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.