Active NPI
Emily Susanne O'Neal, PA-C
- Physician Assistant
- Folsom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19209
- Practice address
- 1580 Creekside Dr
Suite 260
Folsom, CA 95630-3886 - Phone
- (916) 984-7870
- NPI assigned
- Jun 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA19209 | CA | Primary |
Addresses
Primary practice location
1580 Creekside Dr
Suite 260
Folsom, CA 95630-3886
Mailing address
1580 Creekside Dr
Suite 260
Folsom, CA 95630-3886
Phone (916) 984-7870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA19209 | Other | CA | CA PA LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800
1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800
1735 Creekside Dr
Folsom, CA 95630-3914
Phone (916) 983-3500
3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19209 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Duke Health Lake Norman Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
1264 Hawks Flight Ct
Ste 100
El Dorado Hills, CA 95762
Phone (916) 933-4222
1580 Creekside Dr
Ste 260
Folsom, CA 95630
Phone (916) 984-7870
1735 Creekside Dr
Folsom, CA 95630
Phone (916) 983-3500
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
Organizations & group practices 4
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.
-
dba Mercy Medical Group, a service of Dignity Health Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
dba Dignity Health Medical Group - Sierra Nevada, a service of Dignity Hea
- Multi-Specialty Clinic/Center
- Grass Valley, CA
- NPI 1043456106
-
dba Dignity Health Medical Group - North State, a service of Dignity Healt
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
dba Duke Health Lake Norman Hospital
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932304623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 CREEKSIDE DR",
"address_2": "SUITE 260",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303886",
"telephone_number": "916-984-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 CREEKSIDE DR",
"address_2": "SUITE 260",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303886",
"telephone_number": "916-984-7870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "EMILY",
"middle_name": "SUSANNE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA19209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA PA LICENSE",
"identifier": "PA19209",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
- O'Donnell Dental Corporation (Folsom Hills Dentistry Dental Group)
- O'Donnell Physical Therapy Corp.
- Connor Owen O'Keefe
- Patrick O'Malley, M.D.
- Peter Lawrence O'Malley, MD
- Oak Creek Hospice LLC
- Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
- Joseph Aaron Ochoa, FNP
- Ngozi Ogana
- Andrea Oh
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.