UCI HLTH AT CORONA REG MED CTR- OB/GYN (NPI# 1912360868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912360868 |
Entity Type | Organization |
Organization Name | UCI HLTH AT CORONA REG MED CTR- OB/GYN |
Practice Address |
800 S Main St Corona CA 92882-3420 |
Mailing Address |
Po Box 513980 Los Angeles CA 90051-3980 |
Practice Telephone | 9517366375 |
Practice Fax Number | 9512700076 |
Mailing Telephone | 7144566431 |
Mailing Fax Number | 7144567754 |
Enumeration Date | 2016-03-29 |
Last Update Date | 2017-03-16 |
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 |
800 S MAIN ST |
City | CORONA |
State | CA |
Zip Code | 92882-3420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639171788 | Calvin Marantz | Pathology | 800 S Main St, Corona, CA 92882-3420 | 2005-06-01 |
1184277394 | Courtney Snyder | Nurse Practitioner | 800 S Main St, Corona, CA 92882-3420 | 2019-07-17 |
1346802543 | Julie Kim Ahn | Physician Assistant | 800 S Main St, Corona, CA 92882-3420 | 2019-07-08 |
1568020428 | Oriesa Wiyono Oeij | Emergency Medicine | 800 S Main St, Corona, CA 92882-3420 | 2019-06-04 |
1689132474 | Bao-khoi Vu | Physician Assistant | 800 S Main St, Corona, CA 92882-3420 | 2019-03-11 |
1639633472 | Cep America - Neurology PC | Psychiatry & Neurology | 800 S Main St, Corona, CA 92882-3420 | 2019-01-25 |
1265925564 | Farhad Najafi, Md Inc. | General Acute Care Hospital | 800 S Main St, Corona, CA 92882-3420 | 2018-06-11 |
1154819126 | Western Institute of Critical Care Medicine, Inc | Anesthesiology | 800 S Main St, Corona, CA 92882-3420 | 2018-04-25 |
1558865840 | Corona Anesthesia Group, Inc. | Anesthesiology | 800 S Main St, Corona, CA 92882-3420 | 2018-03-21 |
1134629298 | Corona Regional Emergency Medical Associates Inc | Emergency Medicine | 800 S Main St, Corona, CA 92882 | 2018-02-15 |
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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 |
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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] |
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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 |
1407129323 | Industrial Medical Center | Clinic/Center | 91 E Grand Blvd, Corona, CA 92879-1340 | 2012-02-23 |
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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.