Corning Medical Associates, Inc

Organization Active NPI Family Medicine Physician · Corning, CA

NPI 1255454476 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1255454476
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CORNING MEDICAL ASSOCIATES, INC
Practice address
155 Solano St
Corning, CA 96021-3511
Phone
(530) 824-4663
Fax
(530) 824-5204
NPI assigned
Apr 10, 2007
Organization subpart
No

Authorized official

Name
Mr. Don Carl Massie, PA-C
Title
Administrator
Phone
(530) 824-4663

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Corning Medical Associates Inc (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

155 Solano St
Corning, CA 96021-3511

Mailing address

155 Solano St
Corning, CA 96021-3511
Phone (530) 824-4663

Other identifiers

IdentifierTypeStateIssuer
RHM03910GMedicaidCA

Other providers in Corning, CA

All providers in Corning, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.