Connor Owen O'Keefe

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA62709 Issued in CA

Practice address

1650 Creekside Dr
Folsom, CA 95630-3405

Phone

(916) 983-7400

NPI assigned

May 23, 2023

Last updated

May 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414
• Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: connor.o.keefe.1@20181.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay Area Foot Care, Inc

  dba Bay Area Foot Care

  • Foot & Ankle Surgery Podiatrist
  • San Francisco, CA
  • NPI 1508911892
  Medicare reassignment Care Compare group NPD
• Physician Assistant Surgical Assist, Inc

  • Surgery Physician
  • Rocklin, CA
  • NPI 1093059248
  Medicare reassignment
• Bay Area Foot Care Inc

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
  • NPI 1649136490
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  dba Mercy Hospital of Folsom

  • General Acute Care Hospital
  • Folsom, CA
  • NPI 1356389878
  Care Compare affiliation
• Dignity Health

  dba Mercy San Juan Medical Center

  • General Acute Care Hospital
  • Carmichael, CA
  • NPI 1972541498
  Care Compare affiliation

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1851083430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 W ENTERPRISE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CREEKSIDE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303405",
            "telephone_number": "916-983-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "CONNOR",
        "middle_name": "OWEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA62709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Nyaboye
• Joshua Nyberg
• Waine Thet Juju Nyein
• O'Donnell Dental Corporation (Folsom Hills Dentistry Dental Group)
• O'Donnell Physical Therapy Corp.
• Patrick O'Malley, M.D.
• Peter Lawrence O'Malley, MD
• Emily Susanne O'Neal, PA-C
• Oak Creek Hospice LLC
• Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)

• Surgical Physician Assistant in Folsom, CA
• Providers in Folsom, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.