BRIAN O'CARROLL, D.P.M., INC. (NPI# 1427351535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427351535 |
| Entity Type | Organization |
| Organization Name | BRIAN O'CARROLL, D.P.M., INC. |
| Practice Address |
911 Oak Park Blvd Ste 106 Pismo Beach CA 93449-3406 |
| Practice Telephone | 8054819100 |
| Practice Fax Number | 8054819199 |
| Mailing Telephone | 8054819100 |
| Mailing Fax Number | 8054819199 |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2012-03-15 |
| Authorized Official Name | DR. BRIAN DAVID O'CARROLL (OWNER) |
| Authorized Official Telephone | 8054819100 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4758 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA MED LICENSE | E4758 | 01 |
| CA | BLUE SHIELD | 000E47580 | 01 |
| Street Address |
911 OAK PARK BLVD STE 106 |
| City | PISMO BEACH |
| State | CA |
| Zip Code | 93449-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538605 | Amy E. Webb | Pediatrics | 911 Oak Park Blvd, Suite 107, Pismo Beach, CA 93449-3405 | 2005-06-13 |
| 1497133011 | Ken P Optometry Corp | Optometrist | 911 Oak Park Blvd, Suite 104, Pismo Beach, CA 93449-3405 | 2015-05-14 |
| 1851631097 | Model Drug Inc | Pharmacy | 911 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3405 | 2013-02-26 |
| 1558663690 | Steve Clark Dpm Inc | Podiatrist | 911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449-3406 | 2010-11-22 |
| 1679654719 | Health Quest Pharmacy Inc | Pharmacy | 911 Oak Park Blvd, #101, Pismo Beach, CA 93449 | 2006-10-17 |
| 1114952462 | Steven Jon Clark | Podiatrist | 911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449-3406 | 2006-07-12 |
| 1871527838 | Central Coast Cardiothoracic Surgical Associates-a Medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 911 Oak Park Blvd, Ste 102, Pismo Beach, CA 93449-3405 | 2006-07-10 |
| 1336133768 | Brian David O'carroll | Podiatrist | 911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449-3406 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688795 | Kristyn Collins | Psychologist | 130 James Way, #150, Pismo Beach, CA 93449 | 2018-05-07 |
| 1245750140 | Judy Burke Morabito | Pedorthist | 801 Dolliver Street, Pismo Beach, CA 93449 | 2017-06-21 |
| 1295274413 | The San Luis Obispo Hearing Center, Inc | Specialist | 901 Oak Park Blvd Suite 202, Pismo Beach, CA 93449 | 2017-02-21 |
| 1649713645 | Sarah Victoria Stroemel | Counselor | 172 Stimson Ave, #3, Pismo Beach, CA 93449 | 2016-11-22 |
| 1497133631 | Byron N Collier | Podiatrist | 911 Oak Park Blvd Ste 106, Pismo Beach, CA 93449 | 2015-05-07 |
| 1982973319 | Mariana Dintyala | Nurse Practitioner | Avery Healthcare Sevices, 230 Coral Ct, Pismo Beach, CA 93449 | 2011-12-13 |
| 1538444575 | Chelsea Hunter | Student in an Organized Health Care Education/Training Program | 448 Foothill Rd, Pismo Beach, CA 93449 | 2011-10-20 |
| 1952621492 | Briana Leigh Schiro | Counselor | 314 El Portal Dr., Suite 100, Pismo Beach, CA 93449 | 2010-06-07 |
| 1134365315 | Robert Lee Hix | Licensed Psychiatric Technician | 201 Five Cities Dr., 123, Pismo Beach, CA 93449 | 2008-12-18 |
| 1689886764 | Active Physical Therapy Inc | Physical Therapist | 1851 Shell Beach Rd, Suite B, Shell Beach, CA 93449 | 2007-05-03 |
| Find all providers in zip 93449 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497133631 | Byron N Collier | Podiatrist | 911 Oak Park Blvd Ste 106, Pismo Beach, CA 93449 | 2015-05-07 |
| 1558663690 | Steve Clark Dpm Inc | Podiatrist | 911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449-3406 | 2010-11-22 |
| 1114952462 | Steven Jon Clark | Podiatrist | 911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449-3406 | 2006-07-12 |
| 1336133768 | Brian David O'carroll | Podiatrist | 911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449-3406 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
| City | PISMO BEACH |
| Zip Code | 93449 |
Please comment or provide details below to improve the information on BRIAN O'CARROLL, D.P.M., INC..
| 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.