Carla Rae Obrien-Jay

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

528802 Issued in CA

Practice address

7425 Rancho Los Guilicos Rd
Santa Rosa, CA 95409-6519

Phone

(707) 565-6344

NPI assigned

Dec 9, 2011

Last updated

Dec 9, 2011By the provider in NPPES

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

State licenses

Practice roles

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

• Department of Health Services

  • Adolescent and Children Mental Health Clinic/Center
  • Santa Rosa, CA
  • NPI 1376757989
  NPD (past)

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1588932107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 PLEASANT HILL AVE N",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 RANCHO LOS GUILICOS RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954096519",
            "telephone_number": "707-565-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN-JAY",
        "first_name": "CARLA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "528802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Grove Union Elementary School District
• Oak Tree Ranch Senior Assisted Living (Oak Tree Ranch)
• Andrea Oakes, RN
• Larry Martin Oakes, PTLA, DPT
• Robert Sheldon Oberti
• Christopher Obrien
• Katie Obrien, RN
• Janet Obryan, DPT
• Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center, A Medical Corporation)
• Elva Nydia Ochoa, LVN

• Registered Nurse in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.