Brian Knudsen Connolly, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15157 Issued in CA

Practice address

8151 Arlington Ave
Suites U-V
Riverside, CA 92503-0436

Phone

(760) 728-3816

Fax

(760) 728-1542

NPI assigned

Jul 14, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• 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 and National Provider Directory roles.

• Community Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Fallbrook, CA
  • NPI 1982756086
  NPD
• Community Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bloomington, CA
  • NPI 1093226243
  NPD
• Community Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bloomington, CA
  • NPI 1952308009
  NPD (past)
• Laura Williams MD

  • Primary Care Clinic/Center
  • Murrieta, CA
  • NPI 1457442121
  NPD (past)
• Granger Medical Clinic PC

  • Multi-Specialty Clinic/Center
  • West Valley City, UT
  • NPI 1184657041
  NPD (past)
• Indiana University Health Ball Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Muncie, IN
  • NPI 1225195340
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1922024926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 ARLINGTON AVE",
            "address_2": "SUITES U-V",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925030436",
            "telephone_number": "760-728-3816",
            "fax_number": "760-728-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8151 ARLINGTON AVE",
            "address_2": "SUITES U-V",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925030436",
            "telephone_number": "760-728-3816",
            "fax_number": "760-728-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "BRIAN",
        "middle_name": "KNUDSEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "15157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connectca
• Diane Connelly, M.D.
• Jacquelyn Connely
• Genisha Moniqua Conner
• Robert C Connerley, PH.D.
• Jenna Connolly, MS
• Annette Conrad, MPA, MPT
• Gregory Isaac Conrad, DC
• Juli La'Vaun Conrad
• Reneese Constantine

• Medical Physician Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.