Jeannine A. O'Brien, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA14186 Issued in CA

Practice address

6555 Coyle Ave
Suite 235
Carmichael, CA 95608-0302

Phone

(916) 200-0087

NPI assigned

Aug 18, 2006

Last updated

May 9, 2016By 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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Paul R Gregory Jr., M.D.

  • Orthopaedic Trauma Physician
  • Carmichael, CA
  • NPI 1427166453
  Medicare reassignment
• Carbon Health Primary Care of California PC

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1972057990
  NPD (past)
• Mdstat Urgent Care, Inc

  dba MD Stat Urgent Care

  • Urgent Care Clinic/Center
  • Roseville, CA
  • NPI 1407229107
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1598879793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 RATTLESNAKE RD",
            "address_2": "SUITE 235",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "956589722",
            "telephone_number": "916-663-2100",
            "fax_number": "916-663-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 COYLE AVE",
            "address_2": "SUITE 235",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080302",
            "telephone_number": "916-200-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JEANNINE",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA14186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00185911",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nuclear Physicians Medical Group
• Kevin P Nugent, MD
• Abdirahman S. Nuh, M.D.
• Alisha Nunes, M.S., CCC-SLP
• Melvin S Nunn, MD
• Merl W O'Brien, M.D.
• Erin Elizabeth O'Rourke, NP
• Oak Knoll Speech Therapy Inc (Herbal Speech Path)
• Kristianne M Obligar
• Cindy Obry

• Surgical Physician Assistant in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.