4000 Mount Elena Circle Corona, Ca 92882

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

4000 MOUNT ELENA CIRCLE CORONA, CA 92882

Practice address

4000 Mount Elena Cir
Corona, CA 92882-7916

Phone

(626) 993-5823

NPI assigned

Dec 7, 2020

Organization subpart

No

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

Authorized official

Name

Alice K Youssef

Title

Owner

Phone

(626) 993-5823

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1154927192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MOUNT ELENA CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928827916",
            "telephone_number": "626-993-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MOUNT ELENA CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928827916",
            "telephone_number": "626-993-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4000 MOUNT ELENA CIRCLE CORONA, CA 92882",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-993-5823"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 3 Vest Medical Transportation WC LLC
• A Abila Nursing FNP Inc
• A New Day Hospice Care (Care Dimensions Healthcare)
• A Professional Nursing Corporation
• A. Sadeghian Optometric Corporation (Corona Optometry)
• A.C. Adderson Healthcare, Inc.

• Community Health Worker in Corona, CA
• Providers in Corona, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.