Organization Active NPI

Thomas a. O'Callaghan

  • Personal Emergency Response Attendant
  • Riverside, CA
National Provider Identifier
1760587992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
42550 Issued in CA
Legal business name
THOMAS A. O'CALLAGHAN
Practice address
4646 Brockton Ave
Suite 301-1a
Riverside, CA 92506-0102
Phone
(951) 784-2866
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas A O'Callaghan, M.D.
Title
Surgeon
Phone
(909) 794-9039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 146D00000X 42550 CA Primary

Addresses

Primary practice location

4646 Brockton Ave
Suite 301-1a
Riverside, CA 92506-0102

Mailing address

1741 Stratford Cir
Redlands, CA 92374-4229
Phone (909) 794-9039

National Provider Directory

National Provider Directory

Locations

4646 Brockton Ave
Ste 301-1
Riverside, CA 92506
Phone (951) 784-2866

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760587992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 STRATFORD CIR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744229",
            "telephone_number": "909-794-9039",
            "fax_number": "909-794-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE",
            "address_2": "SUITE 301-1A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060102",
            "telephone_number": "951-784-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A. O'CALLAGHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'CALLAGHAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "909-794-9039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "CA",
            "license": "42550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.