Christine Chen Corcoran, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95032922 Issued in CA

Practice address

5015 Eagle Rock Blvd Ste 205
Los Angeles, CA 90041-2087

Phone

(747) 300-7541

Fax

(818) 471-4287

NPI assigned

Feb 4, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Apex Multispecialty Medical Group, Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1023672367
  Medicare reassignment NPD
• Genesis Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1316641855
  Medicare reassignment NPD

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1942014667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 EAGLE ROCK BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412087",
            "telephone_number": "747-300-7541",
            "fax_number": "818-471-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 EAGLE ROCK BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412087",
            "telephone_number": "747-300-7541",
            "fax_number": "818-471-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "CHRISTINE",
        "middle_name": "CHEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Eldridge Corb Jr., PH.D.
• Jason Philip Aaron Hiro Corban, MD CM
• Juan Jose Corbera
• Sidra Corbin, MSW
• Michelle Corby, B.S.
• Patricia Carolyn Corcoran, MD
• Tanya Corcoran, RRT,RCP
• Kristina Marie Cordasco, M.D., M.P.H.
• Corday Medical Group
• Stephen Richard Corday, M.D.

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.