Individual provider Active NPI

Gilbert Oscar Plasencia, M.D.

  • Cardiovascular Disease Physician
  • Corona, CA
National Provider Identifier
1043245822
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G33034 Issued in CA
Practice address
2250 S Main St
Suite #201
Corona, CA 92882-5302
Phone
(951) 734-4880
Fax
(951) 734-7963
NPI assigned
Jul 11, 2006
Last updated
Aug 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G33034 CA Primary

Addresses

Primary practice location

2250 S Main St
Suite #201
Corona, CA 92882-5302

Mailing address

2250 S Main St
Suite #201
Corona, CA 92882-5302
Phone (951) 734-4880

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
I20080821000361 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294800504 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G33034CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Valley Medical Associates, Inc. Cardiovascular Disease CurrentSince Sep 28, 2018 Accepting new patients
Inland Heart Doctors Medical Group Cardiovascular Disease CurrentSince Jan 1, 1989 Accepting new patients
Corona Health Specialty Associates, LLC Cardiovascular Disease CurrentSince Aug 1, 2022 Accepting new patients
Circle City Ekg Reading Panel,Inc CurrentSince May 18, 2009 Accepting new patients

Locations

2250 S Main St
Ste 201
Corona, CA 92882
Phone (951) 621-3232

2250 S Main St
Ste 205
Corona, CA 92882
Phone (951) 734-2900

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

800 S Main St
#201
Corona, CA 92882

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

940 N Haven Ave
Ste 18025
Ontario, CA 91764

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1043245822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 S MAIN ST",
            "address_2": "SUITE #201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825302",
            "telephone_number": "951-734-4880",
            "fax_number": "951-734-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S MAIN ST",
            "address_2": "SUITE #201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825302",
            "telephone_number": "951-734-4880",
            "fax_number": "951-734-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASENCIA",
        "first_name": "GILBERT",
        "middle_name": "OSCAR",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G33034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.