Mayer Horensten

Individual provider Active NPI Internal Medicine Physician · Corcoran, CA

NPI 1306045562 · NPPES record last updated Jul 17, 2007

Key facts

NPI
1306045562
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
20A6895 (CA)
Practice address
900 Quebec Avenue
Corcoran, CA 93212
Phone
(559) 992-7100
Fax
(559) 992-7104
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Regional Medcenter Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A6895 CA Yes

Addresses

Primary practice location

900 Quebec Avenue
Corcoran, CA 93212

Mailing address

900 Quebec Avenue
Corcoran, CA 93212
Phone (559) 992-7100

Other providers in Corcoran, CA

All providers in Corcoran, CA · Internal Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.