MR. CORY MORRISON P.A.-C
NPI 1750682803
Physician Assistant - Surgical in Hawthorne, CA

Active since November 05, 2010PECOS Enrolled
5413 W 123RD ST, HAWTHORNE, CA 90250(310) 725-9547 Get Directions Write a Review

NPPES record last updated: November 5, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Cory Morrison P.a.-c NPPES

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

MR. CORY MORRISON P.A.-C (NPI 1750682803) is an individual surgical provider in Hawthorne, California, licensed in California (14475) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1750682803
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. CORY MORRISONCredential: P.A.-C
Location Address5413 W 123RD STHawthorne, CA 90250-3422
Mailing Address5413 W 123rd StHawthorne, CA 90250-3422
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 5, 2010
NPI 1750682803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · 14475
5413 W 123RD ST, Hawthorne, CA 90250

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Cory Morrison P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830639160
PECOS Enrollment IDI20240912002791
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750682803, enumerated as an "individual" on November 05, 2010.

The provider is located at 5413 W 123RD ST HAWTHORNE, CA 90250 and the phone number is (310) 725-9547.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.