Individual provider Active NPI

Erinn Courteney Tempelis, PA-C

  • Physician Assistant
  • Newbury Park, CA
National Provider Identifier
1891391074
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA58960 Issued in CA
Practice address
701 N Wendy Dr
Newbury Park, CA 91320-3066
Phone
(805) 375-4400
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA58960 CA Primary

Addresses

Primary practice location

701 N Wendy Dr
Newbury Park, CA 91320-3066

Mailing address

5270 Carmento Dr
Oak Park, CA 91377-4801
Phone (818) 634-8090

Other practice location 1

2103 Pickwick Dr
Camarillo, CA 93010-6427
Phone (805) 484-7448

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
I20210128002354 CA Practitioner - Physician Assistant 4082028238 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58960CAMDDentist
PA58960CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Oct 1, 2023 Accepting new patients
Providence Facey Medical Foundation CurrentSince Oct 22, 2020 Accepting new patients
Providence Facey Medical Foundation CurrentSince Oct 22, 2020 Accepting new patients
Cep America - California CurrentSince Oct 1, 2023 Accepting new patients
Stephens Medical Corporation PastSince Mar 19, 2023 Accepting new patients
Morin Medical Corp. PastSince Jan 13, 2000 Accepting new patients

Locations

26777 Agoura Rd
#4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

19346 Nordhoff St
Northridge, CA 91324
Phone (818) 727-2024

6020 Seabluff Dr
Ste 1
Playa Vista, CA 90094
Phone (310) 862-0400

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

25548 The Old Rd
#U1
Stevenson Ranch, CA 91381

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

6440 Platt Ave
West Hills, CA 91307
Phone (818) 946-1103

Interoperability endpoints

  • Direct secure messaging: erinn.tempelis.1@25843.direct.athenahealth.com

Organizations & group practices 9

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": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1891391074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 CARMENTO DR",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913774801",
            "telephone_number": "818-634-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N WENDY DR",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203066",
            "telephone_number": "805-375-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Pickwick Dr",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930106427",
            "country_code": "US",
            "telephone_number": "805-484-7448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPELIS",
        "first_name": "ERINN",
        "middle_name": "COURTENEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

Verify at the official NPI Registry.