Individual provider Active NPI

Kori Brianne Conlon, PA-C

  • Physician Assistant
  • San Ramon, CA
National Provider Identifier
1982296281
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
68032 Issued in CA
Practice address
6 Crow Canyon CT Ste 100
San Ramon, CA 94583-1650
Phone
(925) 838-8830
Fax
(925) 838-8836
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 68032 CA Primary

Addresses

Primary practice location

6 Crow Canyon CT Ste 100
San Ramon, CA 94583-1650

Mailing address

6 Crow Canyon CT Ste 100
San Ramon, CA 94583-1650
Phone (925) 549-1188

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260603000288 CA Practitioner - Physician Assistant 9032680871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hieu T Ball M D IncGroup PAC ID 2466532312, 2 clinicians

Practice addresses (Care Compare)

6 Crow Canyon CT
Suite 100
San Ramon, CA 94583-1650
Phone (925) 838-8830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68032CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hieu T Ball M D Inc CurrentSince Mar 8, 2026 Accepting new patients
San Ramon Regional Medical Center, LLC PastSince Mar 8, 2026 Accepting new patients

Locations

6 Crow Canyon Ct
Ste 100
San Ramon, CA 94583
Phone (925) 838-8830

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21826/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1982296281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CROW CANYON CT STE 100",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831650",
            "telephone_number": "925-549-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CROW CANYON CT STE 100",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831650",
            "telephone_number": "925-838-8830",
            "fax_number": "925-838-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLON",
        "first_name": "KORI",
        "middle_name": "BRIANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "68032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.