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JONATHAN CORREN MD, INC
NPI 1386073377
Allergy & Immunology - Clinical & Laboratory Immunology in Los Angeles, CA

Active since November 11, 2013CLIA 05D2030464 · Waiver
10780 SANTA MONICA BLVD, SUITE #280, LOS ANGELES, CA 90025(310) 312-5050(310) 575-9292 Get Directions Write a Review

NPPES record last updated: November 11, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jonathan Corren Md, Inc NPPES

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

JONATHAN CORREN MD, INC (NPI 1386073377) is a healthcare organization registered as a clinical & laboratory immunology in Los Angeles, California and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Jonathan Corren, President, as its authorized official.

NPPES Registry Identity

NPI1386073377
Entity TypeOrganization
Primary Taxonomy207KI0005X
Legal Business NameJONATHAN CORREN MD, INC
Location Address10780 SANTA MONICA BLVD, SUITE #280Los Angeles, CA 90025-4749
Mailing Address10780 Santa Monica Blvd, Suite #280Los Angeles, CA 90025-4749 · (310) 312-5050 · Fax (310) 575-9292
Phone(310) 312-5050
Fax(310) 575-9292
Organization SubpartNo
Authorized OfficialJonathan CorrenPresident · (310) 312-5050
Enumeration DateNovember 11, 2013
✔ NPI 1386073377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · Clinical & Laboratory ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207KI0005X
License✔ Licensed in CA · G53016
Definition
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.
10780 SANTA MONICA BLVD, Los Angeles, CA 90025
Open in Google Maps ↗

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 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)

Jonathan Corren Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jonathan Corren MD, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jonathan Corren, MD
Allergy/Immunology
NPI 1447360086
10780 SANTA MONICA BLVD SUITE 280
Los Angeles, CA 90025
(310) 312-5050
✔ PECOS✔ Accepts MedicareSame address
Martha Galvan, MD
Internal Medicine
NPI 1205274040
10780 SANTA MONICA BLVD SUITE 280
Los Angeles, CA 90025
(310) 312-5050
✔ 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2030464

Jonathan Corren, MD, Inc · Los Angeles, CA
Active · expires Jan 15, 2027
CLIA Number05D2030464
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorJonathan Corren, MD
Laboratory Phone(310) 312-5050
Laboratory LocationJonathan Corren, MD, Inc10780 Santa Monica Blvd Ste 280, Los Angeles, CA 90025
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Jonathan Corren MD, Inc's NPI number?

The NPI number for Jonathan Corren MD, Inc is 1386073377. It was assigned to this organization in the NPPES registry on November 11, 2013.

Where is Jonathan Corren MD, Inc located?

Jonathan Corren MD, Inc is located at 10780 Santa Monica Blvd Suite #280, Los Angeles, CA 90025. The listed phone number is (310) 312-5050.

What is Jonathan Corren MD, Inc's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Clinical & Laboratory Immunology, with taxonomy code 207KI0005X.

Is Jonathan Corren MD, Inc enrolled in Medicare?

Yes. Jonathan Corren MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jonathan Corren MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jonathan Corren MD, Inc, in Allergy/Immunology and Internal Medicine. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jonathan Corren MD, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2030464) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jonathan Corren MD, Inc was last updated on November 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.