ELITE MEDICAL GROUP PC (NPI# 1083233902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083233902 |
| Entity Type | Organization |
| Organization Name | ELITE MEDICAL GROUP PC |
| Practice Address |
2083 Compton Ave Ste 202 Corona CA 92881-3416 |
| Mailing Address |
17748 Sky Park Cir Ste 240 Irvine CA 92614-4472 |
| Practice Telephone | 9512685600 |
| Mailing Telephone | 8287195658 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Authorized Official Name | RALPH HIGHSHAW (OWNER) |
| Authorized Official Telephone | 8287195658 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 W 190th St Ste 510, Gardena, CA 902484933 | 5625830077 | |
| 222 W Eulalia St # 215, Glendale, CA 912042849 | 8182548400 | |
| 2255 Ygnacio Valley Rd Ste W, Walnut Creek, CA 945983347 | 9253784884 | |
| 701 W Kimberly Ave Ste 130, Placentia, CA 928706301 | 7145772255 |
| Street Address |
2083 COMPTON AVE STE 202 |
| City | CORONA |
| State | CA |
| Zip Code | 92881-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| 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 |
| 1023400322 | Integrated Medical Center of Corona Inc. | Clinic/Center | 2250 S Main St, Suite 203, Corona, CA 92882-2534 | 2015-02-23 |
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| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
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| Find all providers with the same taxonomy | ||||
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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.