MRS. KUMKUM MEHTA (NPI# 1770065559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770065559 |
| Entity Type | Individual |
| Full Name | MRS. KUMKUM MEHTA |
| Credential | AGPCNP-BC |
| Practice Address |
7391 Sungold Ave Corona CA 92880 |
| Mailing Address |
7391 Sungold Ave Corona CA 92880-9030 |
| Practice Telephone | 6787728958 |
| Mailing Telephone | 6787728958 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95009860 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95009860 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
95009860 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7391 SUNGOLD AVE |
| City | CORONA |
| State | CA |
| Zip Code | 92880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1982226460 | Eastvale Urgent Care Inc | Clinic/Center | 14252 Schleisman Rd, Eastvale, CA 92880 | 2020-05-07 |
| 1578199741 | Corrections and Rehabilitation | Pharmacy | 16756 Chino Corona Road, Corona, CA 92880 | 2020-03-19 |
| 1184274029 | Rocquel Mack | Licensed Vocational Nurse | 2131 Shelley Circle, Corona, CA 92880 | 2019-09-12 |
| 1255993176 | Symbiosis, Inc. | Clinic/Center | 3115 Palisades Drive, Corona, CA 92880 | 2019-07-01 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1356854145 | Hk Durgs Inc | Pharmacy | 13394 Limonite Ave, Ste 120, Eastvale, CA 92880 | 2017-11-15 |
| 1134638653 | National Vision, Inc. | Technician/Technologist | 482 Main Street, Corona, CA 92880 | 2017-09-27 |
| 1922527464 | Crown Care Transportation | Non-emergency Medical Transport (VAN) | 13557 Nectarine Ave, Corona, CA 92880 | 2017-09-15 |
| 1114441193 | Yen and Dimitri Dental Corporation | Dentist | 13334 Limonite Ave, Suite 120, Eastvale, CA 92880 | 2017-08-01 |
| Find all providers in zip 92880 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071282 | Geanie Danielle Galindo | Nurse Practitioner | 25687 Red Hawk Rd, Corona, CA 92883-3160 | 2020-04-12 |
| 1306365622 | Christopher Stephen Hollinghurst IIi | Nurse Practitioner | 2057 Compton Ave Ste 102, Corona, CA 92881-7295 | 2017-09-19 |
| 1639615776 | Elena Zlochevsky | Nurse Practitioner | 160 W Foothill Pkwy Ste 105-189, Corona, CA 92882-8545 | 2017-01-12 |
| 1649606914 | Suguna Jaikumar | Nurse Practitioner | 2079 Compton Ave Ste 102, Corona, CA 92881-7292 | 2013-09-18 |
| 1184277394 | Courtney Snyder | Nurse Practitioner | 800 S Main St, Corona, CA 92882-3420 | 2019-07-17 |
| 1356901821 | Nicole Marie Anderson | Nurse Practitioner | 2057 Compton Ave Ste 102, Corona, CA 92881-7295 | 2019-06-17 |
| 1427529213 | Christie Soojung Hong | Nurse Practitioner | 1113 S Main St Ste A, Corona, CA 92882-4455 | 2018-12-06 |
| 1891212585 | Yu Cao | Nurse Practitioner | 2083 Compton Ave Ste 103, Corona, CA 92881-7288 | 2017-08-24 |
| 1588111587 | Stephen Orlando Leon | Nurse Practitioner | 1150 El Camino Ave, Suite 108, Corona, CA 92879-1784 | 2016-09-07 |
| 1346617594 | Patience Ronke Akhimien | Nurse Practitioner | 6515 Red Oak Dr, Corona, CA 92880-8651 | 2015-08-24 |
| 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.