Active NPI
Corrine A Favela, N.P.
- Nurse Practitioner
- Downey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP15844
- Practice address
- 11525 Brookshire Ave Ste 301
Attn Maggie Noles Ms 6160
Downey, CA 90241-4982 - Phone
- (562) 862-3684
- Fax
- (562) 862-7145
- NPI assigned
- Jan 22, 2007
- Last updated
- Oct 11, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP15844 | CA | Primary |
| Nurse Practitioner | 363L00000X | RN570209 | CA |
Addresses
Primary practice location
11525 Brookshire Ave Ste 301
Attn Maggie Noles Ms 6160
Downey, CA 90241-4982
Mailing address
9209 Colima Rd
Ste 1000
Whittier, CA 90605-1813
Phone (562) 696-1104
Other names 1
- Corrine A. Porras
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, VA, NC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Green Vallety Pkwy
Suite 220
Henderson, NV 89074-6392
Phone (702) 944-3627
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15844 | CA | MD | Chiropractor |
| NP15844 | CA | MD | Nurse Practitioner |
| RN570209 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albion Medical Group of Nevada, PC | Current | Accepting new patients | |
| Carelon Medical Partners of North Carolina PC | Current | Accepting new patients | |
| Caremore Medical Group of North Carolina, PC | Current | Accepting new patients | |
| Physicians Medical Center Kaufman, LTD | Past | Accepting new patients |
Locations
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800
1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610
Phone (919) 838-2887
100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627
3041 E Flamingo Rd
Ste A
Las Vegas, NV 89121
Phone (702) 436-0835
Interoperability endpoints
- corrine.favela.1@32527.direct.athenahealth.com
- corrine.favela.p1@direct.caremorewest.nextgenshare.com
Organizations & group practices 5
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.
-
dba CareMore Medical Group of Nevada (Worku), PC
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1578840724
-
- Family Medicine Physician
- Raleigh, NC
- NPI 1659775831
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1730697483
TN
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1750903134
-
- Pulmonary Disease Physician
- Las Vegas, NV
- NPI 1952356412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1447304001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9209 COLIMA RD",
"address_2": "STE 1000",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906051813",
"telephone_number": "562-696-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11525 BROOKSHIRE AVE STE 301",
"address_2": "ATTN MAGGIE NOLES MS 6160",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902414982",
"telephone_number": "562-862-3684",
"fax_number": "562-862-7145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAVELA",
"first_name": "CORRINE",
"middle_name": "A",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP15844",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "RN570209",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORRINE",
"last_name": "PORRAS",
"middle_name": "A.",
"credential": "N.P.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.