Active NPI
Andrea Marie Price, PHYSICIAN ASSISTANT
- Physician Assistant
- Corona, CA
National Provider Identifier
1407079718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14625
- Practice address
- 7056 Archibald St
Ste 102 #304
Corona, CA 92880-8713 - Phone
- (909) 549-1123
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14625 | CA | Primary |
Addresses
Primary practice location
7056 Archibald St
Ste 102 #304
Corona, CA 92880-8713
Mailing address
7065 Archibald Ave Ste 102 #304
Ste 102 #304
Corona, CA 92880
Phone (909) 549-1123
Other names 1
- Andrea Marie Pierre
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14625 | CA | MD | Speech-Language Pathologist |
| PA14625 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Los Angeles Jones Center | Past | Accepting new patients | |
| Planned Parenthood of Greater New York Inc | Past | Accepting new patients |
Interoperability endpoints
- andrea.pricepa.p1@direct.plannedparenthoodla.nextgenshare.com
Organizations & group practices 2
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.
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- Community Health Clinic/Center
- Whittier, CA
- NPI 1245329440
-
- Ambulatory Family Planning Facility
- Brooklyn, NY
- NPI 1417959701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1407079718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7065 ARCHIBALD AVE STE 102 #304",
"address_2": "STE 102 #304",
"city": "CORONA",
"state": "CA",
"postal_code": "92880",
"telephone_number": "909-549-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7056 ARCHIBALD ST",
"address_2": "STE 102 #304",
"city": "CORONA",
"state": "CA",
"postal_code": "928808713",
"telephone_number": "909-549-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "ANDREA",
"middle_name": "MARIE",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA14625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "PIERRE",
"middle_name": "MARIE",
"credential": "PHYSICIAN ASSISTANT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.