Provider Type Icon

JONATHAN CORREN MD NPI 1447360086


NPI Information

NPI: 1447360086
Provider Name: JONATHAN CORREN, MD
Classification: Allergy & Immunology - 207KI0005X
Entity Type: Individual

Specialization: Clinical & Laboratory Immunology

PECOS Registration: Yes

CLIA Number: 05D2030464

Address:
10780 SANTA MONICA BLVD
SUITE 280
LOS ANGELES, CA
ZIP 90025
Phone: (310) 312-5050
Get Directions

Jonathan Corren, MD is a clinical and laboratory immunology allergy immunology in Los Angeles, CA with 45 years of experience. The provider is an allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology. Jonathan Corren, MD NPI is 1447360086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:1979

The provider's business location address is:

10780 SANTA MONICA BLVD
SUITE 280
LOS ANGELES, CA
ZIP 90025-749
Phone: (310) 312-5050
Fax: (310) 575-9292

The NPI 1447360086 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D2030464 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Preparation and provision of single or multiple antigens for allergen immunotherapy (HCPCS:95165)
  • Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • Injection of incremental dosages of allergen, 2 or more injections (HCPCS:95117)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

The enumeration date for this NPI number is 8/30/2006 and was last updated on 10/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyG53016CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E67600MEDICARE UPINCALIFORNIA
2ZZZ73295ZOTHERCALIFORNIABLUE SHIELD
3G53016OTHERCALIFORNIALICENSE
4W1260MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.