Provider Demographics
NPI:1629140702
Name:ONEILL, PADRAIG G (MD)
Entity Type:Individual
Prefix:
First Name:PADRAIG
Middle Name:G
Last Name:ONEILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 HURLEY WAY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-3216
Mailing Address - Country:US
Mailing Address - Phone:916-564-3040
Mailing Address - Fax:916-564-3065
Practice Address - Street 1:3941 J STREET
Practice Address - Street 2:SUITE 260
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3633
Practice Address - Country:US
Practice Address - Phone:916-736-2323
Practice Address - Fax:916-736-0620
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA47764207RC0000X, 207RI0011X, 207UN0901X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ47673ZOtherBLUE SHIELD
CA060035090OtherRAILROAD MEDICARE
CAGR0068232Medicaid
CAGR006823BMedicaid
CAGR0068231Medicaid
CAZZZ47675ZOtherBLUE SHIELD
CAZZZ62306ZOtherBLUE SHIELD
CAZZZ47676ZOtherBLUE SHIELD
CA00A477640Medicaid
CAGR0068230Medicaid
CAGR0068233Medicaid
CAGR0068235Medicaid
CAZZZ00967ZMedicare PIN
CAZZZ00965ZMedicare PIN
CA060035090OtherRAILROAD MEDICARE
CAZZZ00968ZMedicare PIN
CAZZZ47673ZOtherBLUE SHIELD
CAZZZ47675ZOtherBLUE SHIELD
CAGR0068235Medicaid
CA00A477640Medicaid