Brooke O'Neill, PA-C

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

62073 Issued in CA

Practice address

9850 Genesee Ave Ste 820
La Jolla, CA 92037-1219

Phone

(858) 677-0777

Fax

(858) 677-0666

NPI assigned

May 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Interoperability endpoints

• Direct secure messaging: brooke.o.neill.1@23831.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23831/brand/1/csg/1/fhir/r4

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.

• Coastal Pacific Dermatology Inc.

  • Dermatology Physician
  • Encinitas, CA
  • NPI 1639865397
  Medicare reassignment
• San Diego Women'S Health, Inc.

  • Obstetrics & Gynecology Physician
  • La Jolla, CA
  • NPI 1396986667
  NPD (past)

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1851037006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 820",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371219",
            "telephone_number": "858-677-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 820",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371219",
            "telephone_number": "858-677-0777",
            "fax_number": "858-677-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2025-06-26",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "62073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan O'Boyle
• Caoilfhionn Mulvey O'Connor, DNP
• John O'Fee
• Thomas Joseph O'Keefe V
• Mercedes O'Madden, RD, CSO
• Oasis Life Inc.
• Erica Oberg, ND MPH
• Richard M Obler, MD
• Michael Oca
• Ocean View Homes, Inc.

• Obstetrics & Gynecology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.