Organization Active NPI

Corona Surgery Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Corona, CA
National Provider Identifier
1215079868
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CORONA SURGERY INSTITUTE, LLC
Practice address
1810 Fullerton Ave
Suite 103
Corona, CA 92881-3103
Phone
(951) 738-2229
Fax
(951) 738-2222
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Lauren Parrott
Title
Administrator
Phone
(949) 726-0682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1810 Fullerton Ave
Suite 103
Corona, CA 92881-3103

Mailing address

1810 Fullerton Ave
Suite 103
Corona, CA 92881-3103
Phone (951) 738-2229

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1215079868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVE",
            "address_2": "SUITE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813103",
            "telephone_number": "951-738-2229",
            "fax_number": "951-738-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVE",
            "address_2": "SUITE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813103",
            "telephone_number": "951-738-2229",
            "fax_number": "951-738-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA SURGERY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "PARROTT",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-726-0682"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 4, 2010; 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.