UC IRVINE HEALTH - CORONA (MEDICINE) (NPI# 1124496773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124496773 |
| Entity Type | Organization |
| Organization Name | UC IRVINE HEALTH - CORONA (MEDICINE) |
| Practice Address |
341 Magnolia Ave Suite 205 Corona CA 92879-3330 |
| Mailing Address |
Po Box 54509 Los Angeles CA 90054-0509 |
| Practice Telephone | 9517354771 |
| Practice Fax Number | 9517353835 |
| Mailing Telephone | 7144566585 |
| Mailing Fax Number | 7144568101 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2016-04-01 |
| Authorized Official Name | DR. MANUEL PORTO (PRESIDENT) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
341 MAGNOLIA AVE SUITE 205 |
| City | CORONA |
| State | CA |
| Zip Code | 92879-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578532545 | Paul Richard Reiman | Orthopaedic Surgery | 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 | 2006-03-14 |
| 1699215087 | Takuma Richard Shito | Physical Medicine & Rehabilitation | 341 Magnolia Ave, Suite 103, Corona, CA 92879-3330 | 2017-03-03 |
| 1043670680 | Uc Irvine Health - Corona (urology) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1639539265 | Uc Irvine Health- Corona (neurology) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1992165534 | Uc Irvine Health- Corona (obgyn) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1033579743 | Uc Irvine Health- Corona (emergency Medicine) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1912362104 | Kaylee Smith | Physical Therapist | 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 | 2015-12-15 |
| 1467837716 | Andrew W. Shaw | Physician Assistant | 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 | 2015-07-28 |
| 1508283664 | Ralph Gozun | Physical Therapist | 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 | 2014-03-26 |
| 1356772552 | Michael Hashemi | Physical Therapist | 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 | 2013-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205289956 | Mission Surgical Group | Clinic/Center | 2250 S Main St, Suite 206, Corona, CA 92882-2534 | 2016-07-18 |
| 1912360868 | Uci Hlth At Corona Reg Med Ctr- Ob/gyn | Clinic/Center | 800 S Main St, Corona, CA 92882-3420 | 2016-03-29 |
| 1043670680 | Uc Irvine Health - Corona (urology) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1639539265 | Uc Irvine Health- Corona (neurology) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1992165534 | Uc Irvine Health- Corona (obgyn) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1033579743 | Uc Irvine Health- Corona (emergency Medicine) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1568857274 | Nurturing You Women's Health & Wellness, Inc. | Clinic/Center | 1810 Fullerton Ave, Suite 203, Corona, CA 92881-3103 | 2015-03-30 |
| 1407129323 | Industrial Medical Center | Clinic/Center | 91 E Grand Blvd, Corona, CA 92879-1340 | 2012-02-23 |
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| 1760017412 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2409 Artesia Blvd, Redondo Beach, CA 90278-3207 | 2020-03-03 |
| 1316572068 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1317 Main St Ste B, Delano, CA 93215-1737 | 2020-03-03 |
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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.