Organization Active NPI

A Professional Nursing Corporation

  • Nurse Practitioner
  • Corona, CA
National Provider Identifier
1326824228
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
A PROFESSIONAL NURSING CORPORATION
Practice address
4441 Owens St Unit 105
Corona, CA 92883-7393
Phone
(562) 682-8577
NPI assigned
Sep 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Regina M Butler, FNP-BC
Title
NP/Owner
Phone
(562) 682-8577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

4441 Owens St Unit 105
Corona, CA 92883-7393

Mailing address

11762 De Palma Rd Ste 1C
Corona, CA 92883-4010
Phone (562) 682-8577

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1326824228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 DE PALMA RD STE 1C",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834010",
            "telephone_number": "562-682-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 OWENS ST UNIT 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928837393",
            "telephone_number": "562-682-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "562-682-8577",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.