Primaria Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARIA MEDICAL CLINIC

Practice address

830 Magnolia Ave FL 2
Corona, CA 92879-3128

Phone

(951) 278-2530

Fax

(951) 278-9746

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

Fatima C Magina, M.DNPI 1205984689

Title

Owner

Phone

(951) 278-2530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fatima C Magina, M.D.

  • Family Medicine Physician
  • Corona, CA
  • NPI 1205984689
  Medicare reassignment Care Compare group Authorized official
• Jose Adan Sanchez, M.D.

  • Family Medicine Physician
  • Corona, CA
  • NPI 1467531145
  Medicare reassignment Care Compare group
• Emma Noemi Balderas Cook, PA-C

  • Medical Physician Assistant
  • Pomona, CA
  • NPI 1124281746
  Medicare reassignment

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1306070826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 MAGNOLIA AVE FL 2",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793128",
            "telephone_number": "951-278-2530",
            "fax_number": "951-278-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MAGNOLIA AVE FL 2",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793128",
            "telephone_number": "951-278-2530",
            "fax_number": "951-278-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARIA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "MAGINA",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-278-2530",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrea Marie Price, PHYSICIAN ASSISTANT
• Cynthia Price
• Mackenzie Christine Price
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• Family Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.