Courtney Lussier Calkins, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA60632 Issued in CA

Practice address

1415 E 8TH St Ste 5
National City, CA 91950-2663

Phone

(619) 434-4288

Fax

(619) 434-4315

NPI assigned

Feb 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Michelle Lussier Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Good Heart Medical Group a Professional Corporation

  • Interventional Cardiology Physician
  • Santa Ana, CA
  • NPI 1811402571
  Medicare reassignment

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1184378358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E 8TH ST STE 5",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502663",
            "telephone_number": "619-434-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E 8TH ST STE 5",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502663",
            "telephone_number": "619-434-4288",
            "fax_number": "619-434-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALKINS",
        "first_name": "COURTNEY",
        "middle_name": "LUSSIER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA60632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "LUSSIER",
            "middle_name": "MICHELLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Antonio E. Cabinian, M.D.
• Madelyn Cabrera
• Juan Sebastian Calderon Molina, M.D.
• Marilyn Calderon, M.D.
• California Massage (Sunriza Booteeq)
• Benjamin Oclarino Camacho, M.D.
• Roberto Samuel Camou
• Brianna Campbell, MD
• Kassandra Natalie Candelaria
• Maricar Canseco, PT

• Medical Physician Assistant in National City, CA
• Providers in National City, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.