PALISADES EAR NOSE THROAT AND FACIAL PLASTIC SPECIALISTS A MEDIC.
NPI 1295920825
Otolaryngology in Pacific Palisades, CA

Active since September 06, 2007
984 MONUMENT ST STE 203, PACIFIC PALISADES, CA 90272(310) 459-0800 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Palisades Ear Nose Throat And Facial Plastic Specialists A Medic. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALISADES EAR NOSE THROAT AND FACIAL PLASTIC SPECIALISTS A MEDIC. (NPI 1295920825) is a healthcare organization registered as an otolaryngology in Pacific Palisades, California and active in the NPI registry since September 2007. The organization maintains a secondary practice location in Hermosa Beach and lists Marie Chantal Trinque Courchesne, Owner, as its authorized official.

NPPES Registry Identity

NPI1295920825
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NamePALISADES EAR NOSE THROAT AND FACIAL PLASTIC SPECIALISTS A MEDIC.
Location Address984 MONUMENT ST STE 203Pacific Palisades, CA 90272-3859
Mailing Address984 Monument St Ste 203Pacific Palisades, CA 90272-3859 · (310) 459-0800 · Fax (310) 459-4326
Organization SubpartNo
Authorized OfficialMarie Chantal Trinque CourchesneOwner · (310) 459-0800
Enumeration DateSeptember 6, 2007
Last NPPES UpdateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1295920825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
984 MONUMENT ST STE 203, Pacific Palisades, CA 90272

Secondary Practice Location 1

Location 1950 Aviation Blvd Ste KHermosa Beach, CA 90254-4016 · Phone (310) 459-0800

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palisades Ear Nose Throat And Facial Plastic Specialists A Medic. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Palisades Ear Nose Throat And Facial Plastic Specialists A Medic., which bills Medicare for the services this clinician delivers.

Clinician (1)

Otolaryngology
NPI 1962552810
984 MONUMENT ST STE 203
Pacific Palisades, CA 90272
(310) 459-0800
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Palisades Ear Nose Throat And Facial Plastic Specialists A Medic.'s NPI number?

The NPI number for Palisades Ear Nose Throat And Facial Plastic Specialists A Medic. is 1295920825. It was assigned to this organization in the NPPES registry on September 6, 2007.

Where is Palisades Ear Nose Throat And Facial Plastic Specialists A Medic. located?

Palisades Ear Nose Throat And Facial Plastic Specialists A Medic. is located at 984 Monument St Ste 203, Pacific Palisades, CA 90272. The listed phone number is (310) 459-0800.

What is Palisades Ear Nose Throat And Facial Plastic Specialists A Medic.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Palisades Ear Nose Throat And Facial Plastic Specialists A Medic. enrolled in Medicare?

Yes. Palisades Ear Nose Throat And Facial Plastic Specialists A Medic. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palisades Ear Nose Throat And Facial Plastic Specialists A Medic.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Palisades Ear Nose Throat And Facial Plastic Specialists A Medic.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Palisades Ear Nose Throat And Facial Plastic Specialists A Medic. was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.