Frederic H Corbin, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G41325 Issued in CA

Practice address

400 W Central Ave
Suite 101
Brea, CA 92821-3013

Phone

(714) 671-3033

Fax

(714) 671-1231

NPI assigned

Oct 16, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

Practice roles

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.

• Brea Surgical Center, a Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • Brea, CA
  • NPI 1497898647
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114007168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CENTRAL AVE",
            "address_2": "SUITE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213013",
            "telephone_number": "714-671-3033",
            "fax_number": "714-671-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CENTRAL AVE",
            "address_2": "SUITE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213013",
            "telephone_number": "714-671-3033",
            "fax_number": "714-671-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "FREDERIC",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G41325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G41325",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FK827Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Consumerhealth, Inc.
• Consumerhealth, Inc.
• Ruedy Michael Contreras
• Albert Cooper Jr.
• Marissa Cooper
• Theresa Cornelius, LMFT
• Michael I Cornfield, DPM
• Natalie Corona, SPEECH ASSISTANT
• Ingrid H Corrales
• Maria Luisa Cortez Posada, BCBA

• Specialist in Brea, CA
• Providers in Brea, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.