NPIMap

Organization Active NPI

Corning Medical Associates, Inc

  • Family Medicine Physician
  • Corning, CA
National Provider Identifier
1003939216
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CORNING MEDICAL ASSOCIATES, INC
Practice address
155 Solano St
Corning, CA 96021-3511
Phone
(530) 824-4663
Fax
(530) 824-5204
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Don Carl Massie, PA-C
Title
Administrator
Phone
(530) 824-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

155 Solano St
Corning, CA 96021-3511

Mailing address

155 Solano St
Corning, CA 96021-3511
Phone (530) 824-4663

Other identifiers 1

IdentifierTypeStateIssuer
BCP03910GMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Corning Medical Associates Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003939216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SOLANO ST",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960213511",
            "telephone_number": "530-824-4663",
            "fax_number": "530-824-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SOLANO ST",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960213511",
            "telephone_number": "530-824-4663",
            "fax_number": "530-824-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNING MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASSIE",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-824-4663",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BCP03910G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.