Juan Gabriel Corona, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

20231 Issued in CA

Practice address

2303 S Union Ave Ste C2
Bakersfield, CA 93307-4159

Phone

(661) 885-7007

Fax

(661) 735-3699

NPI assigned

Apr 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1043453202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S UNION AVE STE C2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933074159",
            "telephone_number": "661-885-7007",
            "fax_number": "661-735-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S UNION AVE STE C2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933074159",
            "telephone_number": "661-885-7007",
            "fax_number": "661-735-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "JUAN",
        "middle_name": "GABRIEL",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-16",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20231",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "20231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA CA LICENSE",
            "identifier": "PA20231",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA20231",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Ray Cornett
• Mary Cornett
• Jasmin Corona Martinez
• Beronica Corona
• Jose Corona
• Maria Guadalupe Corona
• Jasmin G Coronado
• Sylvia Coronado
• Jessica Abissay Corral-Mangon
• Adam Corral

• Physician Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.