Individual provider Active NPI

Christy Cotner, FNP-C

  • Family Nurse Practitioner
  • Corona, CA
National Provider Identifier
1306240999
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001004 Issued in CA
Practice address
2837 Kellogg Ave
Corona, CA 92881-3524
Phone
(951) 818-5097
Fax
(951) 621-8279
NPI assigned
Oct 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001004 CA Primary

Addresses

Primary practice location

2837 Kellogg Ave
Corona, CA 92881-3524

Mailing address

2837 Kellogg Ave
Corona, CA 92881-3524
Phone (951) 818-5097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150107002223 CA Practitioner - Nurse Practitioner 5698098101 Reassigns benefits to 2 organizations
I20260306001775 OR Practitioner - Nurse Practitioner 5698098101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95001004CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Reimagined, LLC Current Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Grow Healthcare Group PA CurrentSince Jan 21, 2026 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Nov 17, 2014 Accepting new patients

Locations

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1306240999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 KELLOGG AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813524",
            "telephone_number": "951-818-5097",
            "fax_number": "951-621-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 KELLOGG AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813524",
            "telephone_number": "951-818-5097",
            "fax_number": "951-621-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTNER",
        "first_name": "CHRISTY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.