Brian Joseph Cormier, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA11588 Issued in CA

Practice address

850 West California St.
Escalon, CA 95320-2120

Phone

(209) 838-2278

Fax

(209) 838-2513

NPI assigned

Oct 15, 2007

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

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

Specialty

Physician Assistant

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lorian Health Home health agency, Elk Grove, CA, CCN 059322

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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 and National Provider Directory roles.

• Brian J Cormier Physician Assistant Inc

  • Medical Physician Assistant
  • Modesto, CA
  • NPI 1356209605

  CA, Medical

  Medicare reassignment NPD Authorized official
• Krishnamoorthi MD Inc a Professional Medical Corporation

  • Rural Health Clinic/Center
  • Escalon, CA
  • NPI 1285785154

  CA

  Medicare reassignment
• Krishnamoorthi MD Inc a Professional Medical Corporation

  • Rural Health Clinic/Center
  • Waterford, CA
  • NPI 1316098205
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prestige Home Health Services, Inc.

  • Home Health Agency
  • Elk Grove, CA
  • NPI 1891933081
  Care Compare affiliation

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1407045586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6437 KENNETH CHARLES CT",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953672123",
            "telephone_number": "209-869-6715",
            "fax_number": "209-838-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WEST CALIFORNIA ST.",
            "city": "ESCALON",
            "state": "CA",
            "postal_code": "953202120",
            "telephone_number": "209-838-2278",
            "fax_number": "209-838-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Calderon
• Daniel Cardenas, DDS
• Kacey Cheary
• William S. Clark, DO
• Michelle Coble, LCSW
• Cassandra Mae Corsaro, AGNP
• Markee Cuevas
• Bhaveer K Dhanjee
• Cathryn Rae Duncan, PHARM D., RPH
• L. Edward Elliott, O.D.

• All providers in Escalon, CA
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.