ASPEN MEDICAL GROUP, INC. (NPI# 1225304942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225304942 |
| Entity Type | Organization |
| Organization Name | ASPEN MEDICAL GROUP, INC. |
| Practice Address |
341 Magnolia Ave Suite 201 Corona CA 92879-3330 |
| Practice Telephone | 9517356969 |
| Practice Fax Number | 9517358560 |
| Mailing Telephone | 9517356969 |
| Mailing Fax Number | 9517358560 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | MAGDALEN UKACHI EMERUWA (ADMINISTRATOR) |
| Authorized Official Telephone | 9513433477 |
| Authorized Official Credential | M.SC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | ZZZ28499Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578958047 | Aspen Medical Group, Inc. | Obstetrics & Gynecology | 11441 Heacock St, Suite B-1, Moreno Valley, CA 92557-7907 | 2015-04-01 |
| Street Address |
341 MAGNOLIA AVE SUITE 201 |
| 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 |
| 1124496773 | Uc Irvine Health - Corona (medicine) | Clinic/Center | 341 Magnolia Ave, Suite 205, Corona, CA 92879-3330 | 2015-09-11 |
| 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 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658715 | Lawrence Koning, Md, Inc | Obstetrics & Gynecology | 341 Magnolia Ave Ste 202, Corona, CA 92879-3332 | 2017-09-28 |
| 1699026385 | Corona Medical PC | Obstetrics & Gynecology | 10308 Roosevelt Ave, Second Floor, Corona, NY 11368-2330 | 2012-09-21 |
| 1255585675 | Womens Institute for Infertility and Reproductive Medicine A Med | Obstetrics & Gynecology | 900 S Main St Ste 102, Corona, CA 92882-3401 | 2008-11-12 |
| 1841461381 | Choon W Koo Md, Inc | Obstetrics & Gynecology | 760 Washburn Ave Ste 3a, Corona, CA 92882-3303 | 2008-03-12 |
| 1619161650 | Nalin Nanayakkara M.d., Inc | Obstetrics & Gynecology | 760 Washburn Ave Ste 9, Corona, CA 92882-3303 | 2007-09-04 |
| 1497836464 | Nalin Nanayakkara | Obstetrics & Gynecology | 760 S Washburn, Ste 9, Corona, CA 92882 | 2006-10-18 |
| 1649285412 | Jean Joseph Lochard | Obstetrics & Gynecology | 10211 Roosevelt Ave Ste 3, Corona, NY 11368-2331 | 2006-07-30 |
| 1225037047 | Thomas John Cachur Jr. | Obstetrics & Gynecology | 900 S Main St, Suite 209, Corona, CA 92882 | 2005-07-14 |
| 1588012124 | Hesham El Mokadem, M.d., Inc. | Obstetrics & Gynecology | 760 Washburn Ave Ste 3a, Corona, CA 92882-3303 | 2016-05-24 |
| 1063731297 | Kimberly Tustison | Obstetrics & Gynecology | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2010-05-27 |
| Find all providers in CORONA | ||||
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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.