CORONA HEALTH SPECIALTY ASSOCIATES, LLC (NPI# 1104433176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104433176 |
| Entity Type | Organization |
| Organization Name | CORONA HEALTH SPECIALTY ASSOCIATES, LLC |
| Practice Address |
2250 S Main St Ste 201 Corona CA 92882-2536 |
| Mailing Address |
1901 Town and Country Dr Ste 104 Norco CA 92860-3611 |
| Practice Telephone | 9517344880 |
| Mailing Telephone | 9518086240 |
| Mailing Fax Number | 9517389954 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | ROBERT G NELSON (PRESIDENT) |
| Authorized Official Telephone | 9518086240 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CITRUS VALLEY MEDICAL ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6900 Brockton Ave Ste 100, Riverside, CA 925063817 | 9517813800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971042 | Corona Health Specialty Associates, LLC | Internal Medicine | 2250 S Main St Ste 201, Corona, CA 92882-2536 | 2020-10-27 |
| Street Address |
2250 S MAIN ST STE 201 |
| City | CORONA |
| State | CA |
| Zip Code | 92882-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174701668 | Sumit Mahendra Khandhar | Internal Medicine | 2250 S Main St Ste 201, Corona, CA 92882-2536 | 2008-02-06 |
| 1659971042 | Corona Health Specialty Associates, LLC | Internal Medicine | 2250 S Main St Ste 201, Corona, CA 92882-2536 | 2020-10-27 |
| 1164798153 | Dhaval Desai | Internal Medicine | 2250 S Main St Ste 201, Corona, CA 92882-2536 | 2012-03-24 |
| 1417226366 | Omar Shahbaz | Internal Medicine | 2250 S Main St Ste 201, Corona, CA 92882-2536 | 2011-12-21 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978456 | Peter Emilio Zambito | Internal Medicine | 10119 39th Ave, Suite 101, Corona, NY 11368-4806 | 2007-04-10 |
| 1346386943 | Brooklyn Nuclear Spect Imaging, PC | Internal Medicine | 10401 Corona Ave, Corona, NY 11368-2923 | 2007-01-30 |
| 1013909407 | Isaac K Tsai | Internal Medicine | 341 Magnolia Ave., Suite 205, Corona, CA 92879-3120 | 2005-08-22 |
| 1417423633 | Bitthal Das Maheshwari Md Prof Corp | Internal Medicine | 613 S Howard St, Corona, CA 92879-2254 | 2018-10-15 |
| 1457457103 | Corona Regional Cardiology and Ekg Panel | Internal Medicine | 800 S Main St, Corona, CA 92882-3420 | 2006-09-16 |
| 1447263066 | Inland Heart Doctors Medical Group | Internal Medicine | 2250 S Main St, Suite 201, Corona, CA 92882-5302 | 2006-08-14 |
| 1043245822 | Gilbert Oscar Plasencia | Internal Medicine | 2250 S Main St, Suite #201, Corona, CA 92882-5302 | 2006-07-11 |
| 1073548962 | Roberto Moscoso | Internal Medicine | 2250 S Main St, Suite #201, Corona, CA 92882-5302 | 2006-07-11 |
| 1629030895 | Sa'd Khalil Tuqan | Internal Medicine | 2250 S Main St, Suite 201, Corona, CA 92882-5302 | 2006-04-04 |
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|---|---|---|---|---|
| 1962000141 | Suman S Kuppahally, M.d. Inc | Internal Medicine | 2505 Samaritan Dr Ste 600, San Jose, CA 95124-4017 | 2020-10-11 |
| 1336754472 | Ankur Gupta Medical Corporation | Internal Medicine | 820 S Akers St Ste 130, Visalia, CA 93277-8346 | 2020-09-15 |
| 1295351740 | Penciu Medical Apmc | Internal Medicine | 1585 Sierra Madre Villa Ave, Pasadena, CA 91107-1259 | 2020-06-21 |
| 1679113336 | La Pulse Medical, Inc | Internal Medicine | 14558 Sylvan St Ste 105, Van Nuys, CA 91411-2324 | 2020-01-10 |
| 1770122871 | John R. Nelson M.d. Inc. | Internal Medicine | 7061 N Whitney Ave Ste 101, Fresno, CA 93720-8025 | 2020-01-06 |
| 1730725789 | Norcal Medical Services, Inc | Internal Medicine | 2267 Lava Ridge Ct, Roseville, CA 95661-3062 | 2019-11-25 |
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1528610425 | Nicholas Russell | Internal Medicine | 2967 N Moorpark Rd, Thousand Oaks, CA 91360-4573 | 2019-07-10 |
| 1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
| 1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
| 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.