Individual provider Active NPI

Gwenne Noel Norcross, D.O.

  • Family Medicine Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1972608438
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9825 Issued in CA
Practice address
65A Peninsula Center
Rolling Hills Estates, CA 90277
Phone
(310) 541-8919
Fax
(310) 541-8959
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9825 CA Primary

Addresses

Primary practice location

65A Peninsula Center
Rolling Hills Estates, CA 90277

Mailing address

65A Penunsula Center
Rolling Hills Estates, CA 90274
Phone (310) 541-8919

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070927000752 CA Practitioner - Family Practice 8820183478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norcross Family Medicine, Inc.Group PAC ID 1355438284, 2 clinicians

Practice addresses (Care Compare)

65 A Peninsula Ctr
Rolling Hills Estates, CA 90274-3506
Phone (310) 541-8919

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9825CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcross Family Medicine, Inc. Family Medicine CurrentSince Oct 1, 2007 Accepting new patients

Locations

65A Peninsula Ctr
Rolling Hills Estates, CA 90274
Phone (310) 541-8919

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1972608438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65A PENUNSULA CENTER",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "90274",
            "telephone_number": "310-541-8919",
            "fax_number": "310-541-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65A PENINSULA CENTER",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-541-8919",
            "fax_number": "310-541-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORCROSS",
        "first_name": "GWENNE",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.