Doctor profile · Federal record
Dr. Kornnisa McCallon, FNP
Family Nurse Practitioner · Gynecologic Oncology Physician · Primary Care Nurse Practitioner · Apple Valley, CA
- NPI 1861182115
- 3 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
16167 Siskiyou RD Ste A
Apple Valley, CA 923070837
(760) 242-2146 - Mailing address
-
Po Box 1032
Helendale, CA 923421032
Credentials & registration
- NPI registered
- May 2023 — 3 yrs on file
- Profile last updated
- March 14, 2025
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- California #95023549
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861182115. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$91
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sage Therapeutics, INC. | 2 | $41.76 | |
| Astellas Pharma US INC | 1 | $26.97 | |
| Solventum Corporation | 1 | $22.45 |
By nature of payment
Frequently asked questions
What is Dr. Kornnisa McCallon's medical specialty?
Dr. Kornnisa McCallon practices Family Nurse Practitioner in Apple Valley, CA.
Where does Dr. Kornnisa McCallon practice?
Dr. Kornnisa McCallon practices at 16167 Siskiyou RD Ste A, Apple Valley, CA 923070837. Office phone: 7602422146.
What is Dr. Kornnisa McCallon's NPI?
Dr. Kornnisa McCallon's National Provider Identifier (NPI) is 1861182115, issued by NPPES.