MR. BRIAN KNUDSEN CONNOLLY PA-C NPI 1922024926

NPI Information

  • NPI: 1922024926
  • Provider Name: MR. BRIAN KNUDSEN CONNOLLY, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8151 ARLINGTON AVE
    SUITES U-V
    RIVERSIDE, CA
    ZIP 92503
  • Phone: (760) 728-3816

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NPI Details

MR. Brian Knudsen Connolly, PA-C is a medical physician assistant in Riverside, CA. MR. Brian Knudsen Connolly, PA-C NPI is 1922024926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8151 ARLINGTON AVE
SUITES U-V
RIVERSIDE, CA
ZIP 92503-436
Phone: (760) 728-3816
Fax: (760) 728-1542

The NPI 1922024926 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 7/14/2006 and was last updated on 11/18/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical15157CALIFORNIAYes

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: 11/21/2025

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