JOHN GRANT O'BRIEN (NPI# 1770615452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770615452 |
| Entity Type | Individual |
| Full Name | JOHN GRANT O'BRIEN |
| Other Name | JOHN GRANT O'BRIEN |
| Credential | PHARMD |
| Practice Address |
2400 Moorpark Ave Suite 316b, Ira Greene Pace Clinic San Jose CA 95128-2631 |
| Mailing Address |
6146 Calle Esperanza San Jose CA 95120-4406 |
| Practice Telephone | 4088857615 |
| Practice Fax Number | 4088854699 |
| Mailing Telephone | 4083231524 |
| Mailing Fax Number | 4088854699 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
45683 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760827877 | John E. O'brien | Dentist | 754 Blooming Grove Tpke, New Windsor, NY 12553-8005 | 2013-05-02 |
| 1912213976 | John Patrick O'brien | Optometrist | Optometry Family Health Services, Womack Army Medical Center, Bldg 4-2817, Fort Bragg, NC 28310-0001 | 2010-08-27 |
| 1568639854 | John O'brien | Dentist | 7602 Claremont Dr, Tinley Park, IL 60477-4740 | 2008-05-15 |
| 1962672311 | John Michael O'brien | Dentist | 5 Hammatt St, Ipswich, MA 01938-1915 | 2008-03-01 |
| 1780881201 | John Cameron O'brien Jr. | Chiropractor | 814 N Howe St, Southport, NC 28461-3462 | 2007-06-28 |
| 1619171717 | John Joseph O'brien Jr. | Case Manager/Care Coordinator | 3 Capitol Hl Ste 206, Providence, RI 02908-5034 | 2007-06-13 |
| 1255473419 | John A O'brien IIi | Dentist | 497 W 3rd St, Sylacauga, AL 35150-1916 | 2007-02-13 |
| 1083689061 | John J. O'brien | Family Medicine | 2630 Highway K, O Fallon, MO 63368-6624 | 2006-02-22 |
| 1720083504 | John Matthew O'brien | Psychologist | 465 Congress St, Ste 700, Portland, ME 04101-3539 | 2005-06-17 |
| 1417480351 | John Paul O'brien | Student in an Organized Health Care Education/Training Program | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2017-04-07 |
| Street Address |
2400 MOORPARK AVE SUITE 316B, IRA GREENE PACE CLINIC |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326030867 | Melissa Clarice Komrosky | Nurse Practitioner | 2400 Moorpark Ave, Suite 100, San Jose, CA 95128-2631 | 2005-08-19 |
| 1114567146 | Mahnoor Rehman | Counselor | 2400 Moorpark Ave, San Jose, CA 95128-2631 | 2020-01-07 |
| 1821640103 | Gloria Pham | Counselor | 2400 Moorpark Ave, San Jose, CA 95128-2631 | 2019-07-16 |
| 1053976159 | Victor Tran | Counselor | 2400 Moorpark Ave, San Jose, CA 95128-2631 | 2019-05-03 |
| 1346765468 | Flora Ma | Psychologist | 2400 Moorpark Ave, Ste 300, San Jose, CA 95128 | 2017-08-09 |
| 1457876021 | Kimyoeuth Yuon | Counselor | 2400 Moorpark Ave, Ste 300, San Jose, CA 95128 | 2017-08-04 |
| 1205369220 | Chinpang Leung | Counselor | 2400 Moorpark Ave, Ste300, San Jose, CA 95128-2631 | 2017-04-06 |
| 1205372828 | Alexandra Mendoza | Counselor | 2400 Moorpark Ave, San Jose, CA 95128-2631 | 2017-01-07 |
| 1124563077 | Crystal Lyn Romero | Interpreter | 2400 Moorpark Ave, San Jose, CA 95128-2631 | 2017-01-02 |
| 1407390313 | April Sangco | Registered Nurse | 2400 Moorpark Ave, 300, San Jose, CA 95128-2631 | 2016-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447513817 | Kam Wong | Pharmacist | 1400 Parkmoor Ave Ste 120a, San Jose, CA 95126-3797 | 2012-06-20 |
| 1245598838 | Jen Tung Chen | Pharmacist | 751 S Bascom Ave # Be034, San Jose, CA 95128-2604 | 2012-05-02 |
| 1912216110 | Vinh Khoa Phuc Nguyen | Pharmacist | 1451 Prelude Dr, San Jose, CA 95131-3317 | 2010-10-05 |
| 1528199577 | Jeannie M Sohn | Pharmacist | 6573 Mount Royal Dr, San Jose, CA 95120-1937 | 2007-03-08 |
| 1033665369 | May Nguyen | Pharmacist | 3155 Silver Creek Rd, San Jose, CA 95121-1730 | 2016-08-28 |
| 1356600274 | Victoria Sun-huie | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2012-05-12 |
| 1770851693 | Kathy Nguyen | Pharmacist | 2400 Moorpark Ave Ste 206, San Jose, CA 95128-2624 | 2011-12-06 |
| 1144500257 | Leticia Cabello | Pharmacist | 2220 Moorpark Ave, San Jose, CA 95128-2613 | 2011-08-19 |
| 1700172202 | Christina Young Lum | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2011-06-22 |
| 1124325691 | Jessica Song | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2011-02-18 |
| Find all providers in SAN JOSE | ||||
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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.