William Cornell

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

865640 Issued in CA

Practice address

5585 Stanford St
Ventura, CA 93003-4243

Phone

(805) 300-4803

Fax

(866) 910-5674

NPI assigned

Jan 29, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1083037873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 STANFORD ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034243",
            "telephone_number": "805-300-4803",
            "fax_number": "866-910-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 STANFORD ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034243",
            "telephone_number": "805-300-4803",
            "fax_number": "866-910-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "865640",
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "CA",
            "license": "865640",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "865640",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "865640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENSE BOARD",
            "identifier": "865640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Monique Cordova
• Core Integration Physical Therapy
• Victoria Rae Cornall
• Andrea Vazquez Cornelio
• Angelia Cornelius
• Christopher Robin Cornett, PA-C
• Gordon Warden Cornett, D.D.S.
• Anissa Corona-Aguilar
• Aileen Corona
• Guadalupe Hortencia Coronado, MD

• Customized Equipment (DME) in Ventura, CA
• Providers in Ventura, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.