Jorge Eduardo Cornejo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26048 Issued in CA

Practice address

4369 Elena Place
Lancaster, CA 93536

Phone

(661) 917-9674

NPI assigned

Oct 29, 2012

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• California Care Home Health Agency, Inc.

  • Home Health Agency
  • Lancaster, CA
  • NPI 1710110408
  NPD
• First Choice Physical Therapy &Rehab, Inc

  • Physical Therapy Clinic/Center
  • Fresno, CA
  • NPI 1043399090

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1750635843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4369 ELENA PL QUARTZ HILL",
            "city": "QUARTZ HILL",
            "state": "CA",
            "postal_code": "93536",
            "telephone_number": "661-917-9674",
            "fax_number": "661-943-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4369 ELENA PLACE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93536",
            "telephone_number": "661-917-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEJO",
        "first_name": "JORGE",
        "middle_name": "EDUARDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Cordero
• Katherine Samantha Cordova
• Alexine Cordovano, D.C.
• Angel Corletto
• Anne T Cormack, MSW INTERN
• Nakia Marie Cornelius
• Christopher Carl Cornell, PSY.D.
• Adriana A Corona
• Ernesto Daniel Coronel
• Hannah Mae Tampus Corpuz, MAOT, OTR/L, OTRP

• Physical Therapist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.