Organization Active NPI

Constance C Corsino MD Inc

Doing business as Childrens Medical Group of Chino

  • Pediatrics Physician
  • Chino, CA
National Provider Identifier
1013996305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G25276 Issued in CA
Legal business name
CONSTANCE C CORSINO MD INC
Doing business as
Childrens Medical Group of Chino
Practice address
12574 Central Ave
Chino, CA 91710
Phone
(909) 627-7433
Fax
(909) 627-8573
NPI assigned
Jan 13, 2006
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
Dr. Constance Chappell Corsino, MD
Title
President
Phone
(909) 627-7433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G25276 CA Primary

Addresses

Primary practice location

12574 Central Ave
Chino, CA 91710

Mailing address

12574 Central Ave
Chino, CA 91710
Phone (909) 627-7433

Other names 1

  • Childrens Medical Group of Chino Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013996305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12574 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-627-7433",
            "fax_number": "909-627-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12574 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-627-7433",
            "fax_number": "909-627-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANCE C CORSINO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORSINO",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "CHAPPELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-627-7433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G25276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Medical Group of Chino",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, 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.