Individual provider Active NPI

Edward Cornejo, PT, MPT, CFMT

  • Orthopedic Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1245470319
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
28506 Issued in CA
Practice address
1600 Dove St Ste 320
Newport Beach, CA 92660-2489
Phone
(949) 629-5211
Fax
(949) 785-3191
NPI assigned
Mar 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 28506 CA Primary
Physical Therapist 225100000X 28506 CA

Addresses

Primary practice location

1600 Dove St Ste 320
Newport Beach, CA 92660-2489

Mailing address

1600 Dove St Ste 320
Newport Beach, CA 92660-2489
Phone (949) 629-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130531000097 CA Practitioner - Physical Therapist in Private Practice 0840438917 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

36 Mauchly
Suite a
Irvine, CA 92618-2390
Phone (949) 727-3315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28506CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehab & Sports Therapy CurrentSince Mar 31, 2014 Accepting new patients
Platinum Rehab Physical Therapy, PC Physical Therapist CurrentSince Jan 8, 2009 Accepting new patients
Power Physical Therapy and Sports Medicine Physical Therapist CurrentSince Apr 15, 2015 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince Mar 31, 2014 Accepting new patients
Huntington Beach Physical Therapy Specialist a Professional Corp Physical Therapist CurrentSince May 15, 2012 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
John M. Somerndike Physical Therapy, PC Physical Therapist CurrentSince Feb 26, 2013 Accepting new patients
California Rehabilitation & Sports Therapy Physical Therapist Past Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Past Accepting new patients

Locations (25 of 28)

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

14135 Francisquito Ave
Ste 100
Baldwin Park, CA 91706
Phone (626) 430-2300

471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877

255 E Rincon St
Ste 112
Corona, CA 92879
Phone (951) 523-8509

2900 Bristol St
Ste J108
Costa Mesa, CA 92626
Phone (714) 307-6640

2973 Harbor Blvd
Costa Mesa, CA 92626

3140 Red Hill Ave
Ste 225
Costa Mesa, CA 92626
Phone (714) 222-5922

1640 Newport Blvd
Ste 260
Costa Mesa, CA 92627
Phone (949) 335-7967

4755 Katella Ave
Ste 101
Cypress, CA 90720
Phone (657) 213-8687

11420 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (657) 204-2959

18785 Brookhurst St
Ste 104
Fountain Valley, CA 92708
Phone (657) 301-4967

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

7071 Warner Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 847-3800

18682 Beach Blvd
Ste 160
Huntington Beach, CA 92648
Phone (714) 378-1300

36 Mauchly
Ste A
Irvine, CA 92618
Phone (949) 374-3315

4950 Barranca Pkwy
Ste 302
Irvine, CA 92604
Phone (949) 346-1486

24050 Aliso Creek Rd
Ste 1C
Laguna Niguel, CA 92677
Phone (949) 317-4454

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

5810 Downey Ave
Long Beach, CA 90805
Phone (562) 380-2178

26302 La Paz Rd
Ste 105
Mission Viejo, CA 92691
Phone (949) 206-1700

1600 Dove St
Ste 320
Newport Beach, CA 92660
Phone (949) 629-5211

200 Newport Center Dr
Ste 213
Newport Beach, CA 92660
Phone (949) 644-0316

2854 N Santiago Blvd
Ste 100
Orange, CA 92867
Phone (714) 771-7047

3111 N Tustin St
Ste 180
Orange, CA 92865
Phone (714) 282-7701

415 E Avenida Pico
Ste M
San Clemente, CA 92672
Phone (949) 245-6581

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1245470319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DOVE ST STE 320",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602489",
            "telephone_number": "949-629-5211",
            "fax_number": "949-785-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DOVE ST STE 320",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602489",
            "telephone_number": "949-629-5211",
            "fax_number": "949-785-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEJO",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PT, MPT, CFMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-02",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "28506",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.