Zoe Vanessa Kornberg, MD, MPH

Key facts

NPI

1700415577

Entity type

Individual (NPI type 1)

Primary specialty

Obstetrics Physician 207VX0000X

License

A186972 (CA)

Practice address

1000 W Carson St
Torrance, CA 90502-2059

Phone

(424) 306-4061

NPI assigned

Apr 3, 2020

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

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.

• Magella Medical Group, Inc. Maternal & Fetal Medicine Physician · Long Beach, CA · NPI 1376640086
  Medicare reassignment Care Compare group NPD CA · OBSTETRICS & GYNECOLOGY

Hospital & facility affiliations 1

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

• Long Beach Memorial Medical Children's Hospital · Long Beach, CA · NPI 1477596583
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Obstetrics/Gynecology

Education

University of California, San Francisco School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magella Medical Group Inc (23 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Care Miller Children'S & Women'S Hosp LB Hospital · Long Beach, CA · CCN 053309

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zkornberg854916@direct.memorialcare.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 2, 2024.

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1700415577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022059",
            "telephone_number": "424-306-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022059",
            "telephone_number": "424-306-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNBERG",
        "first_name": "ZOE",
        "middle_name": "VANESSA",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A186972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Torrance, CA · Obstetrics Physician in California