Mario Corona, P-A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA16239 Issued in CA

Practice address

714 N Orange Ave
West Covina, CA 91790-1101

Phone

(323) 265-3060

NPI assigned

Apr 29, 2010

Last updated

Apr 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Lally Medical Group, a Professional Corporation

  • Family Medicine Physician
  • Montclair, CA
  • NPI 1407306772
  NPD
• Santa Teresita Medical Clinic Group Inc

  dba Santa Teresita Medical Clinic

  • Specialist
  • Los Angeles, CA
  • NPI 1932425899
  NPD (past)

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1073830089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N ORANGE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917901101",
            "telephone_number": "323-265-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N ORANGE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917901101",
            "telephone_number": "323-265-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "MARIO",
        "credential": "P-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA16239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura G Contreras
• Adrienne Christine Cooley, RN
• Priscilla Marie Cordova
• Vivian Cordova
• Ilene Corona
• Ava Danielle Coronado
• Diego Adrien Coronado
• Ulises Coronel Martinez
• Michael Corr, SLPA
• David Corrales Gonzalez, LCSW

• Medical Physician Assistant in West Covina, CA
• Providers in West Covina, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.