Active NPI
Olga Cornejo, PPS
- School Psychologist
- Inglewood, CA
National Provider Identifier
1871380113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 210036744
- Practice address
- 215 W 94TH St
Inglewood, CA 90301-3701 - Phone
- (310) 680-5410
- NPI assigned
- Apr 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 210036744 | CA | Primary |
Addresses
Primary practice location
215 W 94TH St
Inglewood, CA 90301-3701
Mailing address
6009 Condon Ave
Windsor Hills, CA 90056-1813
Phone (310) 780-9872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210036744 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1871380113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6009 CONDON AVE",
"city": "WINDSOR HILLS",
"state": "CA",
"postal_code": "900561813",
"telephone_number": "310-780-9872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W 94TH ST",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903013701",
"telephone_number": "310-680-5410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNEJO",
"first_name": "OLGA",
"name_prefix": "Mrs.",
"credential": "PPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-21",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "210036744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.