Corona Surgical LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CORONA SURGICAL LLC

Doing business as

Corona Summit Surgical Center

Practice address

2370 Anselmo Drive
Corona, CA 92879

Phone

(951) 736-0137

Fax

(951) 734-3597

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Frank Edward Szczesniak III, R.N.NPI 1477135283

Title

Administrator

Phone

(951) 736-0137

Specialties & licenses 1

Addresses

Other names 1

• Corona Summit Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Corona Summit Surgery CenterCCN 05C0002007

Medicare certification status

ActiveFrom the Provider of Services file

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Corona Surgical Anesthesia

  • Anesthesiology Physician
  • Corona, CA
  • NPI 1982567731
  NPPES parent name

Practitioners 2

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

• Frank Edward Szczesniak III, RN, FNP-BC

  • Family Nurse Practitioner
  • Corona, CA
  • NPI 1477135283
  Medicare reassignment NPD Authorized official
• Andrew K Bean, M.D.

  • MOHS-Micrographic Surgery Physician
  • West Des Moines, IA
  • NPI 1881649523
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1356616064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 ANSELMO DRIVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "951-736-0137",
            "fax_number": "951-734-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 ANSELMO DRIVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "951-736-0137",
            "fax_number": "951-734-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "SZCZESNIAK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-736-0137",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corona Summit Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corona Surgery Center, Inc
• Corona Surgery Center, LLC
• Corona Surgery Institute, LLC
• Corona Surgical Anesthesia
• Corona Surgical Center Inc.
• Corona Trustcare Congregate Living Inc.
• Corona Valley Optometry Inc
• Corona Vet Center
• Corona Vista Dental LLP
• Janis Lynn-Harris Corona, LMT

• Ambulatory Surgical Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.