Country Medical Corporation

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A36684 Issued in CA

Legal business name

COUNTRY MEDICAL CORPORATION

Practice address

23341 Golden Springs Dr
Suite #210
Diamond Bar, CA 91765-2058

Phone

(909) 860-2610

Fax

(909) 860-1192

NPI assigned

Dec 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Bharati Shah, M.D.

Title

President

Phone

(909) 860-2610

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1295166189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23341 GOLDEN SPRINGS DR",
            "address_2": "SUITE #210",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652058",
            "telephone_number": "909-860-2610",
            "fax_number": "909-860-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23341 GOLDEN SPRINGS DR",
            "address_2": "SUITE #210",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652058",
            "telephone_number": "909-860-2610",
            "fax_number": "909-860-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BHARATI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-860-2610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A36684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Counseling and Coaching Center
• Connie J Li MD a Professional Corporation
• Felipe De Jesus Coronado, PA-C
• Florencia Quezada Cortes
• Anna Jane Couch, LMFT
• Robert Cousins, LHAD
• Jessica Crane, DPT
• Crescent Med Trans
• Crestview Clinicial Laboratory
• Olivia Laura Cruz

• Pain Medicine (Anesthesiology) Physician in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.