Individual provider Active NPI

Peter G. O'Brien, FNP

  • Family Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1639533490
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003926 Issued in CA
Practice address
41880 Kalmia St Ste 100
Murrieta, CA 92562-8835
Phone
(951) 397-4226
Fax
(951) 461-6973
NPI assigned
Apr 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003926 CA Primary

Addresses

Primary practice location

41880 Kalmia St Ste 100
Murrieta, CA 92562-8835

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (951) 397-4226

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108002409 CA Practitioner - Nurse Practitioner 3274809678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Urgent Care NetworkGroup PAC ID 7315284130, 15 clinicians

Practice addresses (Care Compare)

41880 Kalmia St
Suite 100
Murrieta, CA 92562-8835
Phone (951) 397-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Urgent Care Network Nurse Practitioner CurrentSince Nov 18, 2019 Accepting new patients

Locations

31571 Canyon Estates Dr
Ste 100
Lake Elsinore, CA 92532
Phone (951) 397-4214

41880 Kalmia St
Ste 100
Murrieta, CA 92562
Phone (951) 397-4226

2559 W Rosamond Blvd
Ste D
Rosamond, CA 93560
Phone (661) 256-6365

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1639533490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "951-397-4226",
            "fax_number": "951-461-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41880 KALMIA ST STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628835",
            "telephone_number": "951-397-4226",
            "fax_number": "951-461-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "PETER",
        "middle_name": "G.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.