Individual provider Active NPI

Jasjeet Singh Virk, MD

  • Family Medicine Physician
  • Corona, CA
National Provider Identifier
1033604236
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A174128 Issued in CA
Practice address
1820 Fullerton Ave Ste 115
Corona, CA 92881-3113
Phone
(951) 817-5000
Fax
(951) 817-5002
NPI assigned
Jun 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A174128 CA Primary

Addresses

Primary practice location

1820 Fullerton Ave Ste 115
Corona, CA 92881-3113

Mailing address

1901 Town and Country Dr Ste 104
Norco, CA 92860-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805001942 CA Practitioner - Family Practice 2567874746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Citrus Valley Medical Associates IncGroup PAC ID 0446329932, 14 clinicians

Practice addresses (Care Compare)

1820 Fullerton Ave
Suite 115
Corona, CA 92881-3113
Phone (951) 817-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A174128CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Valley Medical Associates, Inc. Family Medicine CurrentSince Aug 2, 2021 Accepting new patients
Geoffrey Trenkle DO a Professional Medical Corporation PastSince Aug 1, 2021 Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

2250 S Main St
Ste 208
Corona, CA 92882
Phone (951) 271-4161

1820 Fullerton Ave
Ste 115
Corona, CA 92881
Phone (951) 817-5000

1901 Town and Country Dr
Ste 104
Norco, CA 92860
Phone (951) 737-8141

940 N Haven Ave
Ste 18025
Ontario, CA 91764

Interoperability endpoints

  • Direct secure messaging: jasjeet.virk.p1@direct.cvma.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1033604236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 TOWN AND COUNTRY DR STE 104",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE STE 115",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813113",
            "telephone_number": "951-817-5000",
            "fax_number": "951-817-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRK",
        "first_name": "JASJEET",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A174128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.