Organization Active NPI

The Dna Company

  • Family Medicine Physician
  • Corona, CA
National Provider Identifier
1063236313
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE DNA COMPANY
Practice address
650 E Parkridge Ave Ste 109
Corona, CA 92879-1092
Phone
(866) 552-7652
Fax
(714) 908-8200
NPI assigned
Nov 13, 2024
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Dr. Boyce Berkel, MD
Title
Cmo
Phone
(727) 505-5987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

650 E Parkridge Ave Ste 109
Corona, CA 92879-1092

Mailing address

650 E Parkridge Ave Ste 109
Corona, CA 92879-1092
Phone (866) 552-7652

National Provider Directory

National Provider Directory

Locations

650 E Parkridge Ave
Ste 109
Corona, CA 92879
Phone (866) 552-7652

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1063236313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E PARKRIDGE AVE STE 109",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791092",
            "telephone_number": "866-552-7652",
            "fax_number": "714-908-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E PARKRIDGE AVE STE 109",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791092",
            "telephone_number": "866-552-7652",
            "fax_number": "714-908-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DNA COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BERKEL",
        "authorized_official_first_name": "BOYCE",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "727-505-5987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 14, 2024; 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.