MR. BRIAN KARL O'BANNON (NPI# 1184612483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184612483 |
| Entity Type | Individual |
| Full Name | MR. BRIAN KARL O'BANNON |
| Credential | PA-C, FNP |
| Practice Address |
350 S Oak Ave Oakdale CA 95361-3519 |
| Mailing Address |
Po Box 10970 Westminster CA 92685-0970 |
| Practice Telephone | 2098473011 |
| Mailing Telephone | 8882629570 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2008-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 14220 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
14220 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 9179 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9179 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA14220 | 05 |
| Street Address |
350 S OAK AVE |
| City | OAKDALE |
| State | CA |
| Zip Code | 95361-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346620887 | Eric Jon Healy | Pharmacist | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2015-05-30 |
| 1730567108 | Mabrook L. Shehata Md Medical Corporation | Specialist | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2015-05-18 |
| 1669883278 | Geanny Ryan | Nurse Practitioner | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2014-05-16 |
| 1417102716 | Oak Valley Hospital District | Ambulance | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2008-12-01 |
| 1942475900 | Yosemite Pathology Medical Group,inc | Clinical Medical Laboratory | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2008-04-29 |
| 1346381415 | Oak Valley Hospital District | Ambulance | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2007-02-09 |
| 1003954694 | Max Mehrdad Maude | Physician Assistant | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2007-02-03 |
| 1649317793 | Hong Kee Kim | Anesthesiology | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2007-01-30 |
| 1598862054 | Oakdale Medical Group Inc | Emergency Medicine | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2006-09-19 |
| 1750300372 | Bruce Baysin Chou | Anesthesiology | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427453190 | Janet Kennedy Barretta | Marriage & Family Therapist | 210 South Sierra Suite 209 Serenity Heart Counseling Se, Oakdale, CA 95361 | 2014-10-23 |
| 1629483946 | Gina Maria Womack | Physical Therapy Assistant | 1570 E. F Street # N, Oakdale, CA 95361 | 2014-06-25 |
| 1457636946 | Eugene Awuah | Pharmacist | 2048 Royal Ascot Way, Oakdale, CA 95361 | 2011-10-15 |
| 1679852669 | Shiow-yan Chen | Pharmacist | 1449 East F Street Suite 102, Oakdale, CA 95361 | 2011-08-09 |
| 1659592475 | David Michael Meyers | Chiropractor | 715 West F Street, Oakdale, CA 95361 | 2007-05-01 |
| 1043372691 | Joanne Mccartney | Nurse Practitioner | 700 Laurel Avenue, Oakdale, CA 95361 | 2006-12-13 |
| 1457445587 | Suzanne Streater | Marriage & Family Therapist | 145 North Second Avenue, Suite 8, Oakdale, CA 95361 | 2006-10-03 |
| 1689786972 | Christina Louise Tourtlotte | Dentist | 1473 East G St, Ste C, Oakdale, CA 95361 | 2006-08-31 |
| 1750395042 | Janet R Busic | Psychologist | 7248 Gold Run Dr, Oakdale, CA 95361 | 2006-07-29 |
| 1609807346 | Consuelos S. Dizon | Anesthesiology | Oak Valley Hospital, 350 South Oak Ave., Oakdale, CA 95361 | 2006-07-05 |
| Find all providers in zip 95361 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588202659 | Aimee Gosse | Physician Assistant | 25 Beverly Rd, Oakdale, NY 11769-1901 | 2019-12-19 |
| 1639643562 | Meagan Jane Keane | Physician Assistant | 40 Shore Dr, Oakdale, NY 11769-1924 | 2019-01-14 |
| 1396198610 | Christine Marie Waldhof | Physician Assistant | 77 Middlesex Ave, Oakdale, NY 11769-1919 | 2016-07-21 |
| 1174934442 | Christina Natoli | Physician Assistant | 250 Matthews Rd, Oakdale, NY 11769-1845 | 2014-05-08 |
| 1972898419 | James M Vermeulen | Physician Assistant | 1425 W H St Ste 380, Oakdale, CA 95361-3592 | 2011-06-13 |
| 1275652166 | Gina Marie Guschel | Physician Assistant | 4568 Sunrise Highway, Oakdale, NY 11769 | 2007-03-29 |
| 1801808852 | Dennis G. Durr | Physician Assistant | 1420 W H St, Oakdale, CA 95361-3557 | 2006-08-11 |
| 1760946313 | Leatherwood Emergency Group, LLC | Physician Assistant | 130 Hospital Dr, Oakdale, LA 71463-3035 | 2019-01-29 |
| 1598271793 | Jaclyn L Glaser | Physician Assistant | 7180 10th St N, Oakdale, MN 55128-1122 | 2017-12-26 |
| 1023554151 | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | Physician Assistant | 7180 10th St N, Oakdale, MN 55128-1122 | 2017-01-12 |
| Find all providers in OAKDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.