ELLEN CORN (NPI# 1083148811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083148811 |
| Entity Type | Individual |
| Full Name | ELLEN CORN |
| Credential | PA |
| Practice Address |
881 Alma Real Dr 103 Pacific Palisades CA 90272-3731 |
| Practice Telephone | 3104594333 |
| Mailing Telephone | 3104594333 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 53981 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
881 ALMA REAL DR 103 |
| City | PACIFIC PALISADES |
| State | CA |
| Zip Code | 90272-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279795 | Thomas Harrison Price | Pharmacist | 881 Alma Real Dr, Pacific Palisades, CA 90272-5015 | 2005-07-20 |
| 1053845172 | Max Moncayo Dds Dental Corporation | Dentist | 881 Alma Real Dr, Suite T4, Pacific Palisades, CA 90272-3731 | 2017-04-14 |
| 1467859595 | Serenity Family and Psychological Counseling Center, P.C. | Marriage & Family Therapist | 881 Alma Real Dr, Suite 310, Pacific Palisades, CA 90272-3731 | 2014-12-04 |
| 1790186757 | David W. Dorfman, Md, Dds, Inc. | Dentist | 881 Alma Real Dr, Suite 204, Pacific Palisades, CA 90272-3731 | 2014-09-09 |
| 1508272501 | Justine Sarah Dembo | Psychiatry & Neurology | 881 Alma Real Dr, Suite 311, Pacific Palisades, CA 90272-3731 | 2014-07-10 |
| 1699197400 | Luxe Hospice, Inc. | Hospice Care, Community Based | 881 Alma Real Dr, Suite T9b, Pacific Palisades, CA 90272-3731 | 2014-01-13 |
| 1376806612 | Shangrila Care Inc. | Reflexologist | 881 Alma Real Dr, T - 04, Pacific Palisades, CA 90272-3731 | 2012-06-21 |
| 1215294293 | William L Francis | Dentist | 881 Alma Real Dr, Suite T2, Pacific Palisades, CA 90272-3731 | 2012-04-16 |
| 1912272402 | Schendel Md Broujerdi Md Inc | Clinic/Center | 881 Alma Real Dr, Suite 204, Pacific Palisades, CA 90272-3731 | 2012-03-15 |
| 1417220872 | Luxe Homecare, Inc. | Home Health | 881 Alma Real Dr, Suite T-9b, Pacific Palisades, CA 90272-3731 | 2012-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053852590 | Lynn Watanabe | Dentist | 881 Alma Real Drive Suite 222, Pacific Palisades, CA 90272 | 2017-03-16 |
| 1891248217 | Ericka Hofmeyer | Marriage & Family Therapist | 17015 Pacific Coast Highway, Spc 28, Pacific Palisades, CA 90272 | 2016-08-02 |
| 1053767137 | Laura Kirkland | Dental Therapist | 984 Monument Drive, 207, Pacific Palisades, CA 90272 | 2016-05-09 |
| 1003288846 | Traig Ty Trumbo | Chiropractor | 12519 Sunset Blvd, Suite 203, Pacific Palisades, CA 90272 | 2015-10-20 |
| 1356712442 | Kathryn Hope Carter | Counselor | 881 Alma Real Drive, Suite 218, Reconnect Integrative Trauma Treatment Center, Pacific Palisades, CA 90272 | 2015-10-14 |
| 1922480946 | John Pietrzak | Psychologist | 15340 Albright St Unit 106, Pacific Palisades, CA 90272 | 2015-06-25 |
| 1841607652 | Babak Forooghi | Dentist | 15720 Ventura Blvd. Suite 311, Encino, CA 90272 | 2014-07-14 |
| 1679992374 | Julie Erickson | Marriage & Family Therapist | 1052 Kagawa Street, Pacific Palisades, CA 90272 | 2014-04-09 |
| 1669750816 | Communy Care At Home | Adult Companion | 1623 S. La Cienega Blvd, Los Angeles, CA 90272 | 2011-07-21 |
| 1548498165 | Norman J. Rubaum | Surgery | 620 Enchanted Way, Pacific Palisades, CA 90272 | 2009-06-23 |
| Find all providers in zip 90272 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225576770 | Sarah Wexler | Physician Assistant | 17660 Camino De Yatasto, Pacific Palisades, CA 90272-2014 | 2017-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | PACIFIC PALISADES |
| Zip Code | 90272 |
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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.