Individual provider Active NPI

Javier Roel Coronado, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Fresno, CA
National Provider Identifier
1154527554
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A120095 Issued in CA
Practice address
1303 E Herndon Ave Ste 850
Fresno, CA 93720-3309
Phone
(559) 450-5672
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A120095 CA Primary

Addresses

Primary practice location

1303 E Herndon Ave Ste 850
Fresno, CA 93720-3309

Mailing address

1111 E Spruce Ave Ste 431
Fresno, CA 93720-3330
Phone (559) 450-7449

Other practice location 1

726 4th St
Marysville, CA 95901-5656
Phone (530) 749-4377

Other practice location 2

5 Medical Plaza Dr Ste 190
Roseville, CA 95661-2867
Phone (916) 786-7498

Other practice location 3

15630 18th Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130416000605 CA Practitioner - Internal Medicine 4981899929 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians
American Specialty Physicians Group IncGroup PAC ID 6103198460, 99 clinicians
Pulmonary Medicine Associates Medical Group Inc.Group PAC ID 4981506730, 93 clinicians
Arya Medical Group CorpGroup PAC ID 0244536894, 23 clinicians

Practice addresses (Care Compare)

1221 E Spruce Ave
Fresno, CA 93720-3374
Phone (559) 450-5777

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3433

1379 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-6388

173 E Webster St
Colusa, CA 95932-2949
Phone (209) 287-6308

5 Medical Plaza Dr
Suite 190
Roseville, CA 95661-2867
Phone (916) 679-3590

520 W I St
Los Banos, CA 93635-3419
Phone (559) 675-2575

Hospital & facility affiliations

  • Madera Community Hospital Hospital, Madera, CA, CCN 050856
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Memorial Hospital Los Banos Hospital, Los Banos, CA, CCN 050528
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

Merit-based Incentive Payment System (MIPS)

Final score
85.57 of 100Reported as group
Quality
63.43
Promoting interoperability
98
Improvement activities
40
Cost
77.49

Merit-based Incentive Payment System (MIPS)

Final score
73.59 of 100Reported as group
Quality
52.13
Improvement activities
40
Cost
66.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120095CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Foundation CurrentSince Jul 30, 2023 Accepting new patients
American Specialty Physicians Group Inc Critical Care Medicine CurrentSince Jun 7, 2025 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine Current Accepting new patients
LQMG Medical Group Inc. Current Accepting new patients
Sonora Community Hospital Current Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Jun 12, 2023 Accepting new patients
El-Bershawi Medical Corp Critical Care Medicine CurrentSince Jul 1, 2023 Accepting new patients
Av Intensivist Group Inc Critical Care Medicine CurrentSince Dec 5, 2023 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Jun 12, 2023 Accepting new patients
Sonora Community Hospital CurrentSince Aug 1, 2022 Accepting new patients
Sonora Community Hospital CurrentSince Aug 1, 2022 Accepting new patients
Gaurav Datta MD Inc Past Accepting new patients
Pacific Professional Surgical Group Inc Past Accepting new patients
Hospitalist Medicine Physicians of San Luis Obispo County, Inc Past Accepting new patients
Hospitalist Medicine Physicians of California, Inc Past Accepting new patients

Locations

151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308

1111 E Spruce Ave
Ste 431
Fresno, CA 93720
Phone (559) 450-5611

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1303 E Herndon Ave
Ste 850
Fresno, CA 93720
Phone (559) 450-5672

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

4234 Riverwalk Pkwy
Ste 230
Riverside, CA 92505
Phone (951) 373-5819

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

900 Greenley Rd
Ste 923
Sonora, CA 95370
Phone (209) 536-5090

12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

Interoperability endpoints

  • Direct secure messaging: jcoronado2805667@direct.trinity-health.org

Organizations & group practices 18

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.

View all 18

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1154527554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E SPRUCE AVE STE 431",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203330",
            "telephone_number": "559-450-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E HERNDON AVE STE 850",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203309",
            "telephone_number": "559-450-5672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 4th St",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "CA",
            "postal_code": "959015656",
            "country_code": "US",
            "telephone_number": "530-749-4377",
            "fax_number": "530-749-6616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Medical Plaza Dr Ste 190",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612867",
            "country_code": "US",
            "telephone_number": "916-786-7498",
            "fax_number": "916-482-3647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15630 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Clearlake",
            "state": "CA",
            "postal_code": "954229336",
            "country_code": "US",
            "telephone_number": "707-994-6486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "JAVIER",
        "middle_name": "ROEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A120095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.