Mary Jean O'Connor, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

7588 Issued in CA

Practice address

364 Ocean Ave
Laguna Beach, CA 92651-2322

Phone

(949) 557-0610

Fax

(949) 557-0611

NPI assigned

Jul 24, 2006

Last updated

Mar 14, 2019By the provider in NPPES

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Hoag Clinic

  • Primary Care Clinic/Center
  • Newport Beach, CA
  • NPI 1942799523
  Medicare reassignment Care Compare group NPD
• Mary Jean Oconnor Registered Nursing Family Nurse Practitioner

  • Family Nurse Practitioner
  • Mission Viejo, CA
  • NPI 1669796124
  NPD (past) Authorized official
• Advanced Medical Home Physicians Inc

  • Family Medicine Physician
  • San Clemente, CA
  • NPI 1750528170
  NPD (past)
• California Care Level Management Direct Medical Group, Inc

  • General Practice Physician
  • Woodland Hills, CA
  • NPI 1659357341
  NPD (past)
• Hoag Hospital

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1689864365
  NPD (past)
• John C. Storch, M.D., Inc.

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1144674169
  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

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1871515601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 CANOGA AVE",
            "address_2": "SUITE 500",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676579",
            "telephone_number": "818-595-8100",
            "fax_number": "818-595-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 OCEAN AVE",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512322",
            "telephone_number": "949-557-0610",
            "fax_number": "949-557-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Canoga Ave",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913676579",
            "country_code": "US",
            "telephone_number": "818-595-8100",
            "fax_number": "818-595-8206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "MARY JEAN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "7588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David H. Norton, D.D.S.
• Ari J Novick, PH.D., LMFT
• Prayer Noyogiere
• Remigus Chimezie Nwaokoro, PMHNP-BC
• Gabrielle O'Connor, M.D.
• Patricia Joan O'Donnell, NURSE PRACTITIONER
• Oak Street Studio and Physical Therapy
• Anthony Martin Ocana, MD, CCFP, FASAM
• Ocean Group, LLC
• Ocean Pacific Medical Corporation

• Nurse Practitioner in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.