What is Shane O'Brien's NPI number?

Shane O'Brien's National Provider Identifier (NPI) is 1790248375, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane O'Brien's specialty?

Shane O'Brien is listed in the NPPES registry with a primary specialty of Military Health Care Provider (Other Service Providers).

Where is Shane O'Brien located?

Shane O'Brien's practice location on file with NPPES is 842 Georgia St, Imperial Beach, CA 91932-2343.

What is Shane O'Brien's phone number?

The practice phone number listed in the NPPES registry for Shane O'Brien is (619) 869-1952.

Is Shane O'Brien's NPI active?

Yes — Shane O'Brien's NPI (1790248375) is active in the NPPES registry as of the last update on 2019-04-10.

IndividualActive

Shane O'Brien, DEEP SEA DIVING IDC

NPI 1790248375 · Military Health Care Provider · Imperial Beach, CA

Shane O'Brien, DEEP SEA DIVING IDC is a Military Health Care Provider provider in Imperial Beach, CA (NPI 1790248375).

Provider details

NPI number: 1790248375
Entity type: Individual
Primary specialty: Military Health Care ProviderOther Service Providers
Credential: DEEP SEA DIVING IDC
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Military Health Care ProviderPrimary171000000X
Other Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

842 Georgia St

Imperial Beach, CA 91932-2343

Phone: (619) 869-1952

Street-level locationGet directions

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Mailing address