Active NPI
Christopher Robin Cornett, PA-C
- Physician Assistant
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 57755
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanjiv Verma MD Inc | Current | 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.
-
- Allergy Physician
- Ventura, CA
- NPI 1154351963
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1457467169
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.