Michael I Cornfield, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E2059 Issued in CA

Practice address

410 W Central Ave
#204
Brea, CA 92821

Phone

(714) 990-4422

Fax

(714) 990-2855

NPI assigned

Jul 20, 2006

Last updated

Apr 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Onesource Senior Healthcare PLLCGroup PAC ID 6901026988, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Onesource Senior Healthcare PLLC

  dba OneSource Mobile Healthcare PLLC

  • Podiatrist
  • Scottsdale, AZ
  • NPI 1508272188
  Medicare reassignment Care Compare group NPD
• Michael I Cornfield DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Brea, CA
  • NPI 1609107366
  Authorized official Same address or phone

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1194745471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W CENTRAL AVE",
            "address_2": "#204",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-990-4422",
            "fax_number": "714-990-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W CENTRAL AVE",
            "address_2": "#204",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-990-4422",
            "fax_number": "714-990-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNFIELD",
        "first_name": "MICHAEL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00E2059",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1194745471",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1609107366",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CV970Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert Cooper Jr.
• Marissa Cooper
• Frederic H Corbin, M.D.
• Jennifer Cormier
• Theresa Cornelius, LMFT
• Natalie Corona, SPEECH ASSISTANT
• Ingrid H Corrales
• Maria Luisa Cortez Posada, BCBA
• Sandra Cossio
• County of Orange (CYS North Region)

• Podiatrist in Brea, CA
• Providers in Brea, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.