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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRIAN KARL O'BANNON, PA-C, FNP

Active

MR. BRIAN KARL O'BANNON, PA-C, FNP is a Physician Assistant healthcare provider located in OAKDALE, California. NPI 1184612483 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OAKDALE, CA

Registration Details

NPI Number
1184612483
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2005 (20.829553169302 yrs)
Last Updated
Dec 30, 2021
Licenses
14220 (CA)
9179 (CA)
9179 (CA)
14220 (CA)

Practice Information

Address
350 S OAK AVE
OAKDALE, CA, 953613519
Browse CA providers · Browse ZIP 95361
Phone
2098473011
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Nurse Practitioner
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in OAKDALE, CA

Name Credential NPI
MAX MEHRDAD MAUDE PA 1003954694
MR. JAMES M VERMEULEN PA 1972898419
PAMELA THORNBERRY 1851710594
JESSICA ARACELI GOMEZ PA-C 1710652375
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.