Individual provider Active NPI

Erika Dimitra Couris, PA-C

  • Medical Physician Assistant
  • San Diego, CA
National Provider Identifier
1801314042
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
13978 Issued in CA
Practice address
3969 Fourth Ave
#301
San Diego, CA 92103-9210
Phone
(619) 291-6191
Fax
(619) 291-6191
NPI assigned
Sep 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 13978 CA Primary

Addresses

Primary practice location

3969 Fourth Ave
#301
San Diego, CA 92103-9210

Mailing address

3260 3Rd Ave
San Diego, CA 92103-5616
Phone (619) 865-4867

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
I20190423000079 CA Practitioner - Physician Assistant 4880936863 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erika.couris@240003221094404.direct.elationemr.com
  • Direct secure messaging: ecouris300058@scrippshlth.medalliesdirect.net

Organizations & group practices 2

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1801314042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035616",
            "telephone_number": "619-865-4867",
            "fax_number": "619-291-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3969 FOURTH AVE",
            "address_2": "#301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039210",
            "telephone_number": "619-291-6191",
            "fax_number": "619-291-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURIS",
        "first_name": "ERIKA",
        "middle_name": "DIMITRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "13978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.