MS. HEATHER MARIE CORSON (NPI# 1205118312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205118312 |
| Entity Type | Individual |
| Full Name | MS. HEATHER MARIE CORSON |
| Credential | PA-C |
| Practice Address |
3791 Katella Ave Suite # 201 Los Alamitos CA 90720-3105 |
| Practice Telephone | 5625966736 |
| Practice Fax Number | 5625985492 |
| Mailing Telephone | 5625966736 |
| Mailing Fax Number | 5625985492 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA21781 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3791 KATELLA AVE SUITE # 201 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710975602 | Anna Ho | Physician Assistant | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-3105 | 2005-10-13 |
| 1710320072 | Breana Jean Wheeler | Nurse Practitioner | 3791 Katella Ave, Suite 210, Los Alamitos, CA 90720-3105 | 2013-04-16 |
| 1184960890 | Chinenye Egwuonwu | Nurse Practitioner | 3791 Katella Ave, Ste. 108, Los Alamitos, CA 90720-3105 | 2012-12-27 |
| 1124370937 | Katie Mintz | Physician Assistant | 3791 Katella Ave, Los Alamitos, CA 90720-3105 | 2012-10-04 |
| 1700107091 | Lauren Marie Dolan | Physician Assistant | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-3105 | 2010-06-21 |
| 1205927274 | Randall B Moore | Surgery | 3791 Katella Ave, #201, Los Alamitos, CA 90720 | 2006-09-27 |
| 1518063510 | Ruben Baghdassarian | Urology | 3791 Katella Ave, Suite 200, Los Alamitos, CA 90720-3105 | 2006-09-16 |
| 1699871608 | Stuart Alexander Chalfin | Urology | 3791 Katella Ave, Suite 200, Los Alamitos, CA 90720-3105 | 2006-09-16 |
| 1356453088 | Nicolas Dikio Md Inc | Obstetrics & Gynecology | 3791 Katella Ave, Ste 209, Los Alamitos, CA 90720-3105 | 2006-08-31 |
| 1326158635 | Harold M Lin Md A Medical Corporation | Internal Medicine | 3791 Katella Ave, Suite105, Los Alamitos, CA 90720-2000 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248553 | Valerie Brito | Physician Assistant | 3582 Kempton Dr, Los Alamitos, CA 90720-4111 | 2020-02-24 |
| 1790320620 | Dillon Andrew Randolph | Physician Assistant | 3332 Huntley Dr, Los Alamitos, CA 90720-3836 | 2019-11-14 |
| 1194173047 | Daniel Davis | Physician Assistant | 3851 Katella Ave Ste 202, Los Alamitos, CA 90720-3497 | 2016-06-01 |
| 1982028122 | Renee Purcell | Physician Assistant | 3801 Katella Ave Ste 414, Los Alamitos, CA 90720-3386 | 2014-02-07 |
| 1205095205 | Nicholas Jay Brecht | Physician Assistant | 11302a Independence Rd, Los Alamitos, CA 90720-5155 | 2008-06-04 |
| 1689757627 | Terri M Rembuskos | Physician Assistant | 4772 Katella Ave Ste 200, Los Alamitos, CA 90720-2683 | 2006-10-23 |
| 1033688452 | Hope Secor | Physician Assistant | 3951 Katella Ave, Los Alamitos, CA 90720-3303 | 2018-11-14 |
| 1699294389 | Jeleena Brittani Casquejo Santillana | Physician Assistant | 3801 Katella Ave Ste 414, Los Alamitos, CA 90720-3386 | 2017-09-13 |
| 1528518073 | Michael Hermansen | Physician Assistant | 3851 Katella Ave Ste 100, Los Alamitos, CA 90720-3385 | 2016-10-08 |
| 1407227614 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 3751 Katella Ave, Los Alamitos, CA 90720-3113 | 2015-10-14 |
| Find all providers in LOS ALAMITOS | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.