Jacob Oliver King Connelly (NPI# 1598184517, PAC ID# 5890024400) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1598184517 |
| PAC ID by PECOS | 5890024400 |
| Professional Enrollment ID | I20190906002845 |
| Full Name | Jacob Oliver King Connelly |
| Organization Legal Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Address |
24051 Newhall Ranch Rd Bldg C Valencia CA 91355-5702 |
| Phone Number | 6612546364 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0547490534 |
| Number of Group Practice Members | 103 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050126 | VALLEY PRESBYTERIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 24051 Newhall Ranch Rd, Bldg C, Valencia, CA 91355-5702 | 6612546364 | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Organization Legal Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Physicians | 1120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cathy Joyce Tang | Plastic and Reconstructive Surgery | Regents of The University of California | 101 City Dr S, Orange, CA 92868-3201 |
| Andrew Yang Sun | Urology | Regents of The University of California | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147 |
| Margaret Ann Regan Rainey | Nurse Practitioner | Regents of The University of California | 1225 15th St, Suite 2100, Santa Monica, CA 90404-1101 |
| Evan White | Radiation Oncology | Regents of The University of California | 959 Lane Ave, Suite B, Chula Vista, CA 91914-4528 |
| Sagir G Bera | Family Medicine | Regents of The University of California | 1000 Flower St, Glendale, CA 91201-3007 |
| Talia Landau Shorr | Family Medicine | Regents of The University of California | 4323 W Riverside Dr, Burbank, CA 91505-4044 |
| Fadi Saied | Orthopedic Surgery | Regents of The University of California | 2400 Bahamas Dr, Suite 200, Bakersfield, CA 93309-0747 |
| Douglas Rahn | Radiation Oncology | Regents of The University of California | 959 Lane Ave B, Chula Vista, CA 91914-4528 |
| Peggy S Perock | Physical Therapy | Regents of The University of California | 335 N La Brea Ave, Los Angeles, CA 90036-2517 |
| Jennifer Heller-juarez | Physical Therapy | Regents of The University of California | 1950 Sawtelle Blvd, Suite 130, Los Angeles, CA 90025-7072 |
| Street Address |
24051 NEWHALL RANCH RD BLDG C |
| City | VALENCIA |
| State | CA |
| Zip | 91355-5702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Lee | Diagnostic Radiology | Regents of The University of California | 24051 Newhall Ranch Rd, Bldg C, Valencia, CA 91355-5702 |
| Nicholas De La Motte Hurst | Physician Assistant | Regents of The University of California | 24051 Newhall Ranch Rd, Bldg C, Valencia, CA 91355-5702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda M Chenaur | Chiropractic | 25060 Ave Stanford, Suite 290, Valencia, CA 91355-0984 | |
| Caroline Ann Beers | Nurse Practitioner | Life Line Community Healthcare California | 25350 Magic Mountain Pkwy, Suite 326, Valencia, CA 91355-1151 |
| Darlene T Mcgurndelmore | Nurse Practitioner | Life Line Community Healthcare California | 25350 Magic Mountain Pkwy, Suite 326, Valencia, CA 91355-1151 |
| Curtis W Jones | Nurse Practitioner | Life Line Community Healthcare California | 25350 Magic Mountain Pkwy, Suite 326, Valencia, CA 91355-1151 |
| Timothy Tsai | Nurse Practitioner | Life Line Community Healthcare California | 25350 Magic Mountain Pkwy, Suite 326, Valencia, CA 91355-1151 |
| Bonnie S Mahler | Psychologist, Clinical | 25350 Magic Mountain Pkwy, Suite 170, Valencia, CA 91355-1165 | |
| Liesl Elizabeth Scalzitti | Psychologist, Clinical | 25000 Ave Stanford, Suite 106, Valencia, CA 91355-1224 | |
| Manjit Walia | Psychologist, Clinical | 25050 Ave Kearny, Suite 114, Valencia, CA 91355-1256 | |
| David B Chang | Chiropractic | 23310 Cinema Dr, Suite 104, Valencia, CA 91355-1613 | |
| Robert F Herbert | Chiropractic | 23332 Valencia Blvd, Valencia, CA 91355-1712 | |
| Find all physicians in zip 91355 | |||
| City | VALENCIA |
| Zip Code | 91355 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | VALENCIA + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jacob Oliver King Connelly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.