Organization Active NPI

Anoop Maheshwari M.D Prof. Corp.

  • Specialist
  • Corona, CA
National Provider Identifier
1033244348
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A045841 Issued in CA
Legal business name
ANOOP MAHESHWARI M.D PROF. CORP.
Practice address
1175 W Grand Blvd
Corona, CA 92882-4393
Phone
(951) 737-5809
Fax
(951) 848-6923
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Seema Lechner
Title
Office Manager
Phone
(951) 808-0954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A045841 CA Primary

Addresses

Primary practice location

1175 W Grand Blvd
Corona, CA 92882-4393

Mailing address

1157 W Grand Blvd
Corona, CA 92882-4364
Phone (951) 737-5809

Other practice location 1

23180 Hemlock Ave
Moreno Valley, CA 92557-8001
Phone (951) 737-5809

Other practice location 2

4646 Brockton Ave Ste 202
Riverside, CA 92506-0104
Phone (951) 737-5809

Other practice location 3

31571 Canyon Estates Dr Ste 2019
Lake Elsinore, CA 92532-0468
Phone (951) 737-5809

Other practice location 4

613 S Howard St
Corona, CA 92879-2254
Phone (951) 735-1511

Other identifiers 2

IdentifierTypeStateIssuer
00A458411MedicaidCA
05D09393966OtherCACLIA

Other names 1

  • Anoop Maheshwari Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121005000493 CA Part B Supplier - Clinic/Group Practice 5890944839 Receives reassigned benefits from 3 practitioners
Practice locations: Corona, CA; Lake Elsinore, CA; Riverside, CA; Wildomar, CA

National Provider Directory

National Provider Directory

Locations

1157 W Grand Blvd
Corona, CA 92882
Phone (951) 272-0700

31571 Canyon Estates Dr
Ste 219
Lake Elsinore, CA 92532
Phone (651) 674-7811

31571 Canyon Estates Dr
Ste 2019
Lake Elsinore, CA 92532
Phone (951) 808-0954

36243 Inland Valley Dr
Ste 70
Wildomar, CA 92595

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1033244348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 W GRAND BLVD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928824364",
            "telephone_number": "951-737-5809",
            "fax_number": "951-848-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 W GRAND BLVD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928824393",
            "telephone_number": "951-737-5809",
            "fax_number": "951-848-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23180 Hemlock Ave",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925578001",
            "country_code": "US",
            "telephone_number": "951-737-5809",
            "fax_number": "951-848-6923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4646 Brockton Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925060104",
            "country_code": "US",
            "telephone_number": "951-737-5809",
            "fax_number": "951-848-6923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31571 Canyon Estates Dr Ste 2019",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925320468",
            "country_code": "US",
            "telephone_number": "951-737-5809",
            "fax_number": "951-848-6923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 S Howard St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928792254",
            "country_code": "US",
            "telephone_number": "951-735-1511",
            "fax_number": "951-735-3566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANOOP MAHESHWARI M.D PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LECHNER",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-808-0954"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A045841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A458411",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D09393966",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anoop Maheshwari",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.