Edward J. O'Connor, MD, Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A24400 Issued in CA

Legal business name

EDWARD J. O'CONNOR, MD, INC.

Practice address

2811 Wilshire Blvd Ste 790
Santa Monica, CA 90403-4805

Phone

(310) 829-5968

Fax

(310) 453-3685

NPI assigned

Dec 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward Joseph O'Connor, M.D.NPI 1568466555

Title

Neurologist

Phone

(310) 829-5968

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EDWARD J. O'CONNOR, MD Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• Edward J O'Connor, M.D.

  • Neurology Physician
  • Santa Monica, CA
  • NPI 1568466555
  Medicare reassignment NPD Authorized official
• Peter Alan Bardwick, MD

  • Rheumatology Physician
  • Santa Monica, CA
  • NPI 1184799108
  NPD (past)
• Russ T Shimizu, M.D.

  • Neurology Physician
  • Santa Monica, CA
  • NPI 1780688242
  NPD (past)

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1801079678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 790",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034805",
            "telephone_number": "310-829-5968",
            "fax_number": "310-453-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 790",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034805",
            "telephone_number": "310-829-5968",
            "fax_number": "310-453-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. O'CONNOR, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "310-829-5968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A24400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE4737",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A24400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDWARD J. O'CONNOR, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kathryn Edson, PT, DPT, CSCS
• Eduardo a. Verruno, M.D., Inc.
• Educational and Developmental Therapies
• Edward Allan DDS & Associates, Inc.
• Edward H Yamoah MD Inc
• Bruce W Edwards
• Emily Lilian Edwards, MD
• George Keith Edwards, M.D.
• John David Edwards Jr., M.D
• Meredith Edwards, LMFT

• Neurology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.