Individual provider Active NPI

Christopher Abrom Morris, PA-C

  • Surgical Physician Assistant
  • Cerritos, CA
National Provider Identifier
1750683975
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA21322 Issued in CA
Practice address
21750 Center Court Dr. S
Suite 650
Cerritos, CA 90703
Phone
(323) 628-8671
NPI assigned
Nov 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA21322 CA Primary

Addresses

Primary practice location

21750 Center Court Dr. S
Suite 650
Cerritos, CA 90703

Mailing address

23905 Clinton Keith Rd
114-411
Wildomar, CA 92595-7897
Phone (866) 284-0482

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110222000479 CA Practitioner - Physician Assistant 1759562986 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of RiversideGroup PAC ID 6507754488, 190 clinicians

Practice addresses (Care Compare)

1330 W Ramsey
Suite 100
Banning, CA 92220
Phone (951) 849-7142

650 N State St
Hemet, CA 92543-2960
Phone (951) 791-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21322CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside CurrentSince Jun 28, 2017 Accepting new patients
County of Riverside CurrentSince Jun 28, 2017 Accepting new patients
Golden Mental Health LLC Past Accepting new patients
MSK-US, Inc. PastSince Jun 5, 2011 Accepting new patients

Locations

1330 W Ramsey St
Ste 100
Banning, CA 92220
Phone (951) 849-7142

9990 County Farm Rd
Ste 2
Riverside, CA 92503
Phone (951) 358-4790

Interoperability endpoints

  • Direct secure messaging: cmorris@landmarkhealth-direct.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1750683975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23905 CLINTON KEITH RD",
            "address_2": "114-411",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957897",
            "telephone_number": "866-284-0482",
            "fax_number": "888-977-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21750 CENTER COURT DR. S",
            "address_2": "SUITE 650",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "323-628-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ABROM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-19",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA21322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.