Jonathan Corren, MD

Primary specialty

Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X

License

G53016 Issued in CA

Practice address

10780 Santa Monica Blvd
Suite 280
Los Angeles, CA 90025-4749

Phone

(310) 312-5050

Fax

(310) 575-9292

NPI assigned

Aug 30, 2006

Last updated

Oct 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

University of California, San Diego School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jonathan Corren MD IncGroup PAC ID 7618107012, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Jonathan Corren MD, Inc

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Los Angeles, CA
  • NPI 1386073377
  Medicare reassignment Care Compare group NPD Authorized official
• Allergy Medical Clinic

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Los Angeles, CA
  • NPI 1639234354
  NPD (past)
• Regents Univ of Calif Los Angeles

  dba Resnick Neuropsychiatric Hospital at UCLA

  • Psychiatric Hospital
  • Los Angeles, CA
  • NPI 1952308363
  NPD (past)
• The Regents of the University of California

  dba Santa Monica UCLAMC and Orthopedic Hospital

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1982849105
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1447360086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD. STE 280",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254749",
            "telephone_number": "310-312-5050",
            "fax_number": "310-575-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD",
            "address_2": "SUITE 280",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254749",
            "telephone_number": "310-312-5050",
            "fax_number": "310-575-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREN",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "CA",
            "license": "G53016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ73295Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G53016",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guadalupe Correa
• Jennifer Marie Correa, R.N., N.P., CNS
• Lizeth Yamileth Correa, DDS
• Manuel Correa
• Sofia M Correa
• Marshall Howard Corren, M.D.
• Amanda Corrigan
• Leticia Corril
• Kate Corry-Saavedra, MD
• Gregory Corry, BCBA

• Allergy & Immunology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.