Shannon Michele O'Connor, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A90415 Issued in CA

Practice address

5 Journey
Suite 130
Aliso Viejo, CA 92656-5330

Phone

(949) 360-1069

Fax

(949) 389-8968

NPI assigned

Oct 3, 2006

Sex

Female

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of California, San Diego School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kamila Home Health, Inc Home health agency, Garden Grove, CA, CCN 559755
• Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
• Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Oc Family Medicine PC

  • Family Medicine Physician
  • Aliso Viejo, CA
  • NPI 1700515731
  Medicare reassignment NPD Authorized official
• South Coast Medical Group Family and Sports Medicine

  • Primary Care Clinic/Center
  • Aliso Viejo, CA
  • NPI 1649337221
  Medicare reassignment NPD
• Mission Hospital Regional Medical Center

  • Rehabilitation Hospital
  • Mission Viejo, CA
  • NPI 1003956913
  NPD (past)

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

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation
• Kamila Home Health Inc

  • Home Health Agency
  • Garden Grove, CA
  • NPI 1740746916
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1912108002
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1992752315
  Care Compare affiliation
• Saddleback Memorial Medical Center

  • General Acute Care Hospital
  • Laguna Hills, CA
  • NPI 1275576381
  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1861586554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JOURNEY",
            "address_2": "SUITE 130",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565330",
            "telephone_number": "949-360-1069",
            "fax_number": "949-389-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JOURNEY",
            "address_2": "SUITE 130",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565330",
            "telephone_number": "949-360-1069",
            "fax_number": "949-389-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "SHANNON",
        "middle_name": "MICHELE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A90415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick K. Nguyen, DDS, a Professional Corporation
• Peter D Nierman, M.D.
• Ameneh Nikzad
• Benjamin Niles II
• Nursing Alliqnz Healthcare Corporation
• Dennis Patrick O'Malley, M.D.
• Amy Elizabeth O'Neill, LCSW
• Oc Family Medicine PC
• Oc Medical Billing, Inc
• Oc Trauma Therapy LLC

• Family Medicine Physician in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.