Organization Active NPI

Corona Family Care Inc.

  • Legal Medicine
  • Corona, CA
National Provider Identifier
1376692988
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
CORONA FAMILY CARE INC.
Practice address
2815 S Main St Ste 210
Corona, CA 92882-2533
Phone
(951) 735-9211
Fax
(951) 735-6200
NPI assigned
Jan 10, 2007
Last updated
Jul 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Dr. Jeffery Alan Muller, M.D.NPI 1003995754
Title
Owner
Phone
(951) 735-9211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X CA Primary

Addresses

Primary practice location

2815 S Main St Ste 210
Corona, CA 92882-2533

Mailing address

341 Magnolia Ave Ste 201
Corona, CA 92879-3332
Phone (951) 735-9211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050601001089 CA Part B Supplier - Clinic/Group Practice 3577518760 Receives reassigned benefits from 2 practitioners
Practice locations: Corona, CA

National Provider Directory

National Provider Directory

Locations

2815 S Main St
Ste 210
Corona, CA 92882
Phone (951) 735-9211

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1376692988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE STE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793332",
            "telephone_number": "951-735-9211",
            "fax_number": "951-735-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S MAIN ST STE 210",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822533",
            "telephone_number": "951-735-9211",
            "fax_number": "951-735-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA FAMILY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-735-9211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "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 Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.