Provider Type Icon

CARLY JENNA O'CONNOR PA NPI 1821525270


NPI Information

NPI: 1821525270
Provider Name: CARLY JENNA O'CONNOR, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Organization: STANFORD HEALTH CARE

PECOS Registration: Yes

Address:
9898 GENESEE AVE # AMP410
LA JOLLA, CA
ZIP 92037
Phone: (858) 824-5383
Get Directions

Carly Jenna O'connor, PA is a physician assistant in La Jolla, CA with 7 years of experience. The provider is 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. Carly Jenna O'connor, PA NPI is 1821525270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9898 GENESEE AVE # AMP410
LA JOLLA, CA
ZIP 92037-205
Phone: (858) 824-5383
Fax: (858) 964-3125

The NPI 1821525270 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2017 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1146L00000XEmergency Medical Technician, ParamedicP31438No
2363A00000XPhysician Assistant54426CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.