Active NPI
Kerry Jo Corboy, MD
- Internal Medicine Physician
- Covina, CA
National Provider Identifier
1134304348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A67240
- Practice address
- 1441 East Adams Park Drive
Covina, CA 91724-2926 - Phone
- (626) 331-6988
- NPI assigned
- Jan 7, 2008
- Last updated
- Jan 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A67240 | CA | Primary |
Addresses
Primary practice location
1441 East Adams Park Drive
Covina, CA 91724-2926
Mailing address
1441 E Adams Park Dr
Covina, CA 91724-2926
Phone (626) 331-6988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67240 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1134304348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 E ADAMS PARK DR",
"city": "COVINA",
"state": "CA",
"postal_code": "917242926",
"telephone_number": "626-331-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 EAST ADAMS PARK DRIVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917242926",
"telephone_number": "626-331-6988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBOY",
"first_name": "KERRY",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A67240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.