INTEGRATED MEDICAL CENTER OF CORONA INC. (NPI# 1023400322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023400322 |
| Entity Type | Organization |
| Organization Name | INTEGRATED MEDICAL CENTER OF CORONA INC. |
| Practice Address |
2250 S Main St Suite 203 Corona CA 92882-2534 |
| Practice Telephone | 9517371252 |
| Practice Fax Number | 9517372820 |
| Mailing Telephone | 9517371252 |
| Mailing Fax Number | 9517372820 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |
| Authorized Official Name | TERRY LEE SANDERFER (PERSIDENT) |
| Authorized Official Telephone | 9517371252 |
| Authorized Official Credential | M.D., M.B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
39736MD | CA | Ambulatory Health Care Facilities |
| Street Address |
2250 S MAIN ST SUITE 203 |
| City | CORONA |
| State | CA |
| Zip Code | 92882-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343022 | Anthony John Pirritano | Chiropractor | 2250 S Main St, Ste 203, Corona, CA 92882-2534 | 2005-08-18 |
| 1518414515 | Sarah Nelson | Nurse Practitioner | 2250 S Main St, Ste. 106, Corona, CA 92882-2534 | 2016-09-07 |
| 1205289956 | Mission Surgical Group | Clinic/Center | 2250 S Main St, Suite 206, Corona, CA 92882-2534 | 2016-07-18 |
| 1477923845 | Bluechip Infusion Services | Home Infusion | 2250 S Main St, Suite 106, Corona, CA 92882-2534 | 2015-09-29 |
| 1235362203 | Sarah Santos | Chiropractor | 2250 S Main St, #203, Corona, CA 92882-2534 | 2009-08-25 |
| 1891938155 | Circle City Ekg Reading Panel,inc | Specialist | 2250 S Main St, Ste 201, Corona, CA 92882-2536 | 2009-04-15 |
| 1396993713 | Jennifer Pham | Physician Assistant | 2250 S Main St, Ste. 104, Corona, CA 92882-2534 | 2008-08-28 |
| 1316108491 | Srinidhi Ekkati | Physician Assistant | 2250 S Main St, Suite 201, Corona, CA 92882-2534 | 2008-06-20 |
| 1194903344 | Tracey Doxzon | Physician Assistant | 2250 S Main St, Ste 106, Corona, CA 92882-2534 | 2008-02-08 |
| 1184802332 | Nicole Rae Newman | Physician Assistant | 2250 S Main St, Ste. 106, Corona, CA 92882-2534 | 2008-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497118194 | Uci Hlth At Corona Reg Med Ctr- Neurology | Clinic/Center | 800 S Main St, Corona, CA 92882-3420 | 2016-03-30 |
| 1669835468 | Uci Hlth At Corona Reg Med Ctr- Medicine | Clinic/Center | 800 S Main St, Corona, CA 92882-3420 | 2016-03-30 |
| 1942663653 | Uci Hlth At Corona Reg Med Ctr- Urology | Clinic/Center | 800 S Main St, Corona, CA 92882-3420 | 2016-03-30 |
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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.