Organization Active NPI

Norris Morrison DPM Inc

  • Podiatrist
  • Corona, CA
National Provider Identifier
1871095190
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
NORRIS MORRISON DPM INC
Practice address
1881 California Ave Ste 102
Corona, CA 92881-7299
Phone
(760) 242-4149
NPI assigned
Mar 2, 2018
Last updated
May 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Norris Morrison, DPMNPI 1790098218
Title
Owner
Phone
(718) 669-6867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1881 California Ave Ste 102
Corona, CA 92881-7299

Mailing address

1881 California Ave Ste 102
Corona, CA 92881-7299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180530001843 CA Part B Supplier - Clinic/Group Practice 3476818170 Receives reassigned benefits from 5 practitioners
Practice locations: Corona, CA

National Provider Directory

National Provider Directory

Locations

1881 California Ave
Ste 102
Corona, CA 92881
Phone (760) 610-8398

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1871095190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 CALIFORNIA AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 CALIFORNIA AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817299",
            "telephone_number": "760-242-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORRIS MORRISON DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "NORRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-669-6867",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.