1. Home
  2. Directory
  3. California
  4. Oakdale
  5. Physician Assistant
  6. NPI Profile

MR. BRIAN KARL O'BANNON PA-C, FNP
NPI 1184612483
Physician Assistant in Oakdale, CA

Active since October 11, 2005PECOS Enrolled
350 S OAK AVE, OAKDALE, CA 95361(209) 847-3011 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Brian Karl O'bannon Pa-c, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRIAN KARL O'BANNON PA-C, FNP (NPI 1184612483) is an individual physician assistant in Oakdale, California, licensed in California (14220) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184612483
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BRIAN KARL O'BANNONCredential: PA-C, FNP
Location Address350 S OAK AVEOakdale, CA 95361-3519
Mailing AddressPo Box 10970Westminster, CA 92685-0970 · (888) 262-9570
Phone(209) 847-3011
Sole ProprietorNo
Enumeration DateOctober 11, 2005
Last NPPES UpdateDecember 30, 2021
✔ NPI 1184612483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 14220
Definition
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 14220 (CA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 9179 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9179 (CA)
350 S OAK AVE, Oakdale, CA 95361
Open in Google Maps ↗

Other Identifiers 1

MedicaidPA14220CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brian Karl O'bannon Pa-c, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95361 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAX MEHRDAD MAUDE PA
Physician Assistant
350 S OAK AVE
OAKDALE, CA 95361
Stanislaus County (209) 848-4144
HORIZON ANESTHESIA AND PAIN CONSULTANTS, INC.
Anesthesiology
350 S OAK AVE
OAKDALE, CA 95361
Stanislaus County (209) 847-3011
MR. PAUL MICHAEL BEZAS PA-C
Physician Assistant
350 S OAK AVE
OAKDALE, CA 95361
Stanislaus County (209) 847-3011
D P PATEL MD MEDICAL CORP
Radiology (Vascular & Interventional Radiology)
350 S OAK AVE
OAKDALE, CA 95361
Stanislaus County (307) 421-2593
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTHERN CALIFORNIA, P.C.
Emergency Medicine
350 S OAK AVE
OAKDALE, CA 95361
Stanislaus County (209) 847-3011
SADEGHI HEALTHCARE PROVIDERS, A PROFESSIONAL MEDICAL CORPORATION
Emergency Medicine
350 S OAK AVE
OAKDALE, CA 95361
Stanislaus County (985) 381-6758
SANDRA JEAN CADRA RD
Dietitian, Registered
350 S OAK AVE
OAKDALE, CA 95361
Stanislaus County (209) 848-7022
OAK VALLEY HOSPITAL DISTRICT
General Acute Care Hospital
350 S OAK AVE
OAKDALE, CA 95361
Stanislaus County (209) 847-3011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian O'bannon's NPI number?

The NPI number for Brian O'bannon is 1184612483. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Brian O'bannon located?

Brian O'bannon practices at 350 S Oak Ave, Oakdale, CA 95361. The listed phone number is (209) 847-3011.

What is Brian O'bannon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brian O'bannon enrolled in Medicare?

Yes. Brian O'bannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian O'bannon was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.