Individual provider Active NPI

Christopher Robin Cornett, PA-C

  • Physician Assistant
  • Ventura, CA
National Provider Identifier
1952863573
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57755 Issued in CA
Practice address
5720 Ralston St Ste 205
Ventura, CA 93003-7844
Phone
(805) 658-9500
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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 57755 CA Primary

Addresses

Primary practice location

5720 Ralston St Ste 205
Ventura, CA 93003-7844

Mailing address

5720 Ralston St Ste 205
Ventura, CA 93003-7844
Phone (805) 658-9500

Other practice location 1

451 W Gonzales Rd
Oxnard, CA 93036-9004
Phone (805) 658-9500

Other practice location 2

4000 Calle Tecate
Camarillo, CA 93012-5282
Phone (805) 658-9500

Other practice location 3

23928 Lyons Ave
Newhall, CA 91321-2409
Phone (805) 658-9500

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)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjiv Verma MD Inc CurrentSince May 22, 2022 Accepting new patients
RMS Healthcare Inc Past Accepting new patients

Locations

451 W Gonzales Rd
Oxnard, CA 93036
Phone (805) 658-9500

5720 Ralston St
Ste 205
Ventura, CA 93003
Phone (805) 658-9500

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1952863573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 RALSTON ST STE 205",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037844",
            "telephone_number": "805-658-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 RALSTON ST STE 205",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037844",
            "telephone_number": "805-658-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 W Gonzales Rd",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930369004",
            "country_code": "US",
            "telephone_number": "805-658-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Calle Tecate",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930125282",
            "country_code": "US",
            "telephone_number": "805-658-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23928 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newhall",
            "state": "CA",
            "postal_code": "913212409",
            "country_code": "US",
            "telephone_number": "805-658-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.