NPIMap

Individual provider Active NPI

Corazon Castano Medina, M.D.

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1083883904
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A48129 Issued in CA
Practice address
1751 W Romneya Dr Ste H
Anaheim, CA 92801-1815
Phone
(714) 563-2114
Fax
(714) 563-2116
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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 A48129 CA Primary

Addresses

Primary practice location

1751 W Romneya Dr Ste H
Anaheim, CA 92801-1815

Mailing address

1751 W Romneya Dr Ste H
Anaheim, CA 92801-1815
Phone (714) 563-2114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323000319 CA Practitioner - Internal Medicine 9032000740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1751 W Romneya Dr
Suite H
Anaheim, CA 92801-1815

Hospital & facility affiliations

  • L a Metropolitan Home Health, Incorporation Home health agency, Artesia, CA, CCN 058456
  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
  • Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corazon C Medina MD Inc Internal Medicine CurrentSince Feb 18, 2010 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Locations

1751 W Romneya Dr
Ste H
Anaheim, CA 92801
Phone (714) 563-2114

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 5

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": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1083883904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 W ROMNEYA DR STE H",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011815",
            "telephone_number": "714-563-2114",
            "fax_number": "714-563-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 W ROMNEYA DR STE H",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011815",
            "telephone_number": "714-563-2114",
            "fax_number": "714-563-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "CORAZON",
        "middle_name": "CASTANO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.