Organization Active NPI

Tejaskumar Naik MD a Medical Corporation

  • Infectious Disease Physician
  • Corona, CA
National Provider Identifier
1154474757
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
C51412 Issued in CA
Legal business name
TEJASKUMAR NAIK MD A MEDICAL CORPORATION
Practice address
2083 Compton Ave
Suite 103
Corona, CA 92881-7283
Phone
(951) 372-0039
Fax
(951) 372-0180
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Authorized official

Name
Tejaskumar Naik, M.D.NPI 1255426599
Title
President
Phone
(951) 372-0039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X C51412 CA
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X C51412 CA Primary

Addresses

Primary practice location

2083 Compton Ave
Suite 103
Corona, CA 92881-7283

Mailing address

2083 Compton Ave
Suite 103
Corona, CA 92881-7283
Phone (951) 372-0039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929001291 CA Part B Supplier - Clinic/Group Practice 8729057385 Receives reassigned benefits from 3 practitioners
Practice locations: Corona, CA

National Provider Directory

National Provider Directory

Locations

2083 Compton Ave
Ste 103
Corona, CA 92881
Phone (601) 918-3286

3975 Jackson St
Ste 103
Riverside, CA 92503
Phone (909) 352-7400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1154474757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 COMPTON AVE",
            "address_2": "SUITE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817283",
            "telephone_number": "951-372-0039",
            "fax_number": "951-372-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 COMPTON AVE",
            "address_2": "SUITE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817283",
            "telephone_number": "951-372-0039",
            "fax_number": "951-372-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJASKUMAR NAIK MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "NAIK",
        "authorized_official_first_name": "TEJASKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-372-0039",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51412",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "C51412",
            "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 Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.