Organization Active NPI

Mary Jean Oconnor Registered Nursing Family Nurse Practitioner

  • Family Nurse Practitioner
  • Mission Viejo, CA
National Provider Identifier
1669796124
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
266184 Issued in CA
Legal business name
MARY JEAN OCONNOR REGISTERED NURSING FAMILY NURSE PRACTITIONER
Practice address
25108 Marguerite Pkwy Ste a-249
Mission Viejo, CA 92692-2400
Phone
(949) 412-7482
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Mary Jean Oconnor, NPNPI 1871515601
Title
President
Phone
(949) 412-7482

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 266184 CA Primary

Addresses

Primary practice location

25108 Marguerite Pkwy Ste a-249
Mission Viejo, CA 92692-2400

Mailing address

25108 Marguerite Pkwy Ste a-249
Mission Viejo, CA 92692-2400
Phone (949) 412-7482

National Provider Directory

National Provider Directory

Locations

25108 Marguerite Pkwy
Ste A249
Mission Viejo, CA 92692
Phone (949) 412-7482

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1669796124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25108 MARGUERITE PKWY STE A-249",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926922400",
            "telephone_number": "949-412-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25108 MARGUERITE PKWY STE A-249",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926922400",
            "telephone_number": "949-412-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JEAN OCONNOR REGISTERED NURSING FAMILY NURSE PRACTITIONER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "MARY JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-412-7482",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "266184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.