Individual provider Active NPI

Mark C O'Brien, D.O.

  • Internal Medicine Physician
  • Vista, CA
National Provider Identifier
1497744247
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A6017 Issued in CA
Practice address
161 Thunder Dr Ste 210
Vista, CA 92083-6052
Phone
(760) 216-6500
Fax
(760) 295-4753
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A6017 CA Primary

Addresses

Primary practice location

161 Thunder Dr Ste 210
Vista, CA 92083-6052

Mailing address

161 Thunder Dr Ste 210
Vista, CA 92083-6052
Phone (760) 216-6500

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080307000443 CA Practitioner - Internal Medicine 6103728118 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

161 Thunder Dr
Suite 210
Vista, CA 92083-6052
Phone (760) 216-6500

Hospital & facility affiliations

  • Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6017CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Kansal Inc Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jun 16, 2017 Accepting new patients
Mark C. O'Brien, D.O., Inc. Internal Medicine CurrentSince Jan 6, 2025 Accepting new patients
North County Health Project Inc Past Accepting new patients

Locations

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

161 Thunder Dr
Ste 210
Vista, CA 92083
Phone (760) 216-6500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mark.o.brien.1@32337.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1497744247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 THUNDER DR STE 210",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836052",
            "telephone_number": "760-216-6500",
            "fax_number": "760-295-4753"
        },
        {
            "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": "760-216-6500",
            "fax_number": "760-295-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A6017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.