INDUSTRIAL MEDICAL CENTER (NPI# 1407129323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407129323 |
| Entity Type | Organization |
| Organization Name | INDUSTRIAL MEDICAL CENTER |
| Practice Address |
91 E Grand Blvd Corona CA 92879-1340 |
| Practice Telephone | 9512722929 |
| Practice Fax Number | 9512725847 |
| Mailing Telephone | 9512722929 |
| Mailing Fax Number | 9512725847 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |
| Authorized Official Name | DR. RALPH D DEAN (CEO) |
| Authorized Official Telephone | 9512722929 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
A25818 | CA | Ambulatory Health Care Facilities |
| Street Address |
91 E GRAND BLVD |
| City | CORONA |
| State | CA |
| Zip Code | 92879-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033258389 | Ralph D Dean | Family Medicine | 91 E Grand Blvd, Suite101, Corona, CA 92879-1340 | 2007-02-05 |
| 1144369489 | Charlene G Bateman | Family Medicine | 91 E Grand Blvd, Suite101, Corona, CA 92879-1340 | 2007-02-05 |
| 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 |
| 1124496773 | Uc Irvine Health - Corona (medicine) | Clinic/Center | 341 Magnolia Ave, Suite 205, Corona, CA 92879-3330 | 2015-09-11 |
| 1568857274 | Nurturing You Women's Health & Wellness, Inc. | Clinic/Center | 1810 Fullerton Ave, Suite 203, Corona, CA 92881-3103 | 2015-03-30 |
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| 1083247795 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1025 N Demaree St, Visalia, CA 93291-4117 | 2020-02-20 |
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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.