Individual provider Active NPI

Randall Cornateanu, M.D.

  • Surgery Physician
  • Placentia, CA
National Provider Identifier
1043606429
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
166732 Issued in CA
Practice address
1325 N Rose Dr Ste 210
Placentia, CA 92870-3800
Phone
(657) 216-6090
Fax
(951) 582-2300
NPI assigned
Apr 13, 2015
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 166732 CA Primary
Obesity Medicine (Internal Medicine) Physician 207RB0002X 166732 CA

Addresses

Primary practice location

1325 N Rose Dr Ste 210
Placentia, CA 92870-3800

Mailing address

21 Gramercy Unit 315
Irvine, CA 92612-0012
Phone (310) 710-5871

Other practice location 1

830 Magnolia Ave Fl 1
Corona, CA 92879-3128
Phone (657) 216-6090

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
I20200608001735 CA Practitioner - General Surgery 3375824725 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Surgeons of Orange a Medical GroupGroup PAC ID 6901705227, 116 clinicians
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Ocean Surgical IncGroup PAC ID 0345602280, 2 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 634-5549

12401 Washington Blvd
Suite 100
Whittier, CA 90602-1006
Phone (562) 967-2885

1325 N Rose Dr
Suite 102
Placentia, CA 92870-3800
Phone (951) 314-3088

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166732CAMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Institute, Inc. Surgery Current Accepting new patients
Ocean Surgical Inc Surgery CurrentSince Jun 19, 2023 Accepting new patients
Bariatric Institute, Apc Surgery Current Accepting new patients
University Surgeons of Orange a Medical Group Surgery CurrentSince Aug 1, 2020 Accepting new patients
Pih Health Physicians CurrentSince Oct 25, 2023 Accepting new patients
Mission Surgical Clinic, Inc. Surgery CurrentSince Dec 14, 2022 Accepting new patients
Pih Health Physicians CurrentSince Oct 25, 2023 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Western Comprehensive Care Clinic PC PastSince Sep 1, 2024 Accepting new patients
Inland Lung Institute Professional Corporation PastSince Jun 1, 2024 Accepting new patients
Mission Surgical Center Inc Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients

Locations

2250 S Main St
Ste 206
Corona, CA 92882
Phone (951) 278-8870

800 Magnolia Ave
Ste 115
Corona, CA 92879
Phone (951) 371-0412

900 S Main St
Ste 109
Corona, CA 92882
Phone (657) 216-6090

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

790 E Willow St
Ste 100
Long Beach, CA 90806
Phone (562) 595-4014

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1041 E Yorba Linda Blvd
Ste 306
Placentia, CA 92870
Phone (714) 577-9500

1325 N Rose Dr
Ste 102
Placentia, CA 92870
Phone (417) 298-3737

1325 N Rose Dr
Ste 210
Placentia, CA 92870
Phone (714) 203-1799

4234 Riverwalk Pkwy
Ste 170
Riverside, CA 92505
Phone (951) 382-0685

7300 Magnolia Ave
Riverside, CA 92504
Phone (951) 278-8870

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

12401 Washington Blvd
Ste 100
Whittier, CA 90602
Phone (562) 967-2885

12462 Putnam St
Ste 500
Whittier, CA 90602
Phone (562) 789-5449

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1043606429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAMERCY UNIT 315",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120012",
            "telephone_number": "310-710-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N ROSE DR STE 210",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703800",
            "telephone_number": "657-216-6090",
            "fax_number": "951-582-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Magnolia Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928793128",
            "country_code": "US",
            "telephone_number": "657-216-6090",
            "fax_number": "951-582-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNATEANU",
        "first_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "166732",
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "CA",
            "license": "166732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.