NPIMap

Organization Active NPI

Corona Summit Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Corona, CA
National Provider Identifier
1073986527
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CORONA SUMMIT SURGERY CENTER
Practice address
2370 Anselmo Dr
Corona, CA 92879-7109
Phone
(951) 736-0137
Fax
(951) 734-3597
NPI assigned
Nov 5, 2015
Last updated
Nov 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Dr. John Heydt, M.D.
Title
Chief Executive Officer
Phone
(714) 456-2986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2370 Anselmo Dr
Corona, CA 92879-7109

Mailing address

PO Box 31001-2130
Pasadena, CA 91110-2130
Phone (213) 412-1973

National Provider Directory

National Provider Directory
Tax ID family
Arlington Gardens Care Center30 organizations share this tax ID, including this one
Part of
Uci Student Health Center Pharmacy

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1073986527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-2130",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911102130",
            "telephone_number": "213-412-1973",
            "fax_number": "213-412-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 ANSELMO DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797109",
            "telephone_number": "951-736-0137",
            "fax_number": "951-734-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA SUMMIT SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "HEYDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "714-456-2986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "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 5, 2015; 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.