Individual provider Active NPI

Laura Carolina Nieves, MD

  • Internal Medicine Physician
  • Corona, CA
National Provider Identifier
1073808994
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A152521 Issued in CA
Practice address
341 Magnolia Ave Ste 206
Corona, CA 92879-3332
Phone
(951) 554-5778
Fax
(951) 429-1226
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A152521 CA Primary

Addresses

Primary practice location

341 Magnolia Ave Ste 206
Corona, CA 92879-3332

Mailing address

341 Magnolia Ave Ste 206
Corona, CA 92879-3332
Phone (951) 554-5778

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
I20190214000796 CA Practitioner - Internal Medicine 4688997224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians
Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

28078 Baxter Rd
Suite 530
Murrieta, CA 92563-1405
Phone 9515665229125

341 Magnolia Ave
Suite 206
Corona, CA 92879-3332
Phone (951) 554-5778

Hospital & facility affiliations

  • Lorian Health Home health agency, Riverside, CA, CCN 059464
  • Brio Home Health Services, Inc Home health agency, Chino, CA, CCN 059020
  • Affinity Home Health Care Services, Inc Home health agency, Riverside, CA, CCN 059026
  • Divine Pearl Home Health Home health agency, Anaheim, CA, CCN 757422
  • Mission Home Health of Ontario, Inc Home health agency, Ontario, CA, CCN 559309
  • Corona Regional Medical Center Hospital, Corona, CA, CCN 050329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A152521CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Internal Medicine Current Accepting new patients
United Medical Doctors CurrentSince Feb 1, 2022 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
United Medical Doctors CurrentSince Feb 1, 2022 Accepting new patients
Geoffrey Trenkle DO a Professional Medical Corporation PastSince May 1, 2020 Accepting new patients
Uhs Corona Inc PastSince Nov 19, 2018 Accepting new patients

Locations

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

341 Magnolia Ave
Ste 207
Corona, CA 92879
Phone (951) 734-9930

341 Magnolia Ave
Ste 206
Corona, CA 92879
Phone (951) 554-5778

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

685 N 13th Ave
Ste 11
Upland, CA 91786
Phone (909) 285-6717

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: laura.nieves.1@9170.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1073808994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE STE 206",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793332",
            "telephone_number": "951-554-5778",
            "fax_number": "951-429-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE STE 206",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793332",
            "telephone_number": "951-554-5778",
            "fax_number": "951-429-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "LAURA",
        "middle_name": "CAROLINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A152521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.