Conor Brown, PA-C
Individual provider Active NPI Surgical Physician Assistant · Larkspur, CA
NPI 1922535152 · NPPES record last updated Oct 3, 2023
Key facts
- NPI
- 1922535152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA59057 (CA)
- Practice address
- 2 Bon Air Rd Ste 120
Larkspur, CA 94939-1142 - Phone
- (415) 927-5300
- Fax
- (415) 927-5300
- NPI assigned
- May 18, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Regents Univ of California UCSF
Practice addresses (Care Compare)
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Hospital & facility affiliations
- Marinhealth Medical Center
- Novato Community Hospital
- Sonoma Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.03 of 100
- Quality
- 80.86
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 75.91
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220405002209 | CA | Practitioner - Physician Assistant | 9739575408 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59057 | CA | MD | Dentist |
| PA59057 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Orthopedics & Spine Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current |
Accepting new patients | |
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| California Orthopedics & Spine Inc | Current |
Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| UCSF Health Community Hospitals | Past |
Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| City Health, a Medical Corporation | Past |
Accepting new patients | |
| Marin General Hospital | Past | Accepting new patients |
Locations
18 Bon Air Rd
Larkspur, CA 94939
Phone (415) 927-5300
2 Bon Air Rd
Ste 120
Larkspur, CA 94939
Phone (415) 496-2812
7100 Redwood Blvd
Ste 200
Novato, CA 94945
Phone (415) 492-1600
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2425 Geary Blvd
San Francisco, CA 94115
Phone (415) 833-2200
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Interoperability endpoints
- cbrown244210@direct-ucsfmedicalcenter.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | CA | ||
| Physician Assistant | 363A00000X | PA59057 | CA | |
| Surgical Physician Assistant | 363AS0400X | PA59057 | CA | Yes |
Addresses
Primary practice location
2 Bon Air Rd Ste 120
Larkspur, CA 94939-1142
Mailing address
2135 47TH Ave
San Francisco, CA 94116-1546
Phone (707) 364-1763
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
Other providers in Larkspur, CA
- Richard William Brenner
- Virginia Brenner
- Timothy George Bricca
- Anjuli Maya Brighton
- Hanna Brody
- Shannon Browning
- By the Bay Health
- California Orthopedics & Spine Inc
- California Orthopedics & Spine Inc
- California Orthopedics & Spine Inc
All providers in Larkspur, CA · Surgical Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.