San Corona Corp

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SAN CORONA CORP

Practice address

7171 Jurupa Ave Ste 3
Riverside, CA 92504-1032

Phone

(951) 406-1446

NPI assigned

Nov 12, 2020

Organization subpart

No

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

Authorized official

Name

Jeff Ashcraft

Title

Owner

Phone

(951) 536-6246

Specialties & licenses 1

Addresses

Other names 1

• Mobility Plus Doing business as

Locations

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1336741537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 JURUPA AVE STE 3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 JURUPA AVE STE 3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041032",
            "telephone_number": "951-406-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CORONA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "ASHCRAFT",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-536-6246"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Riverside, CA
• Providers in Riverside, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.