Coranova Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CORANOVA MEDICAL SUPPLY LLC

Practice address

3330 Harbor Blvd Ste 242
Costa Mesa, CA 92626-1502

Phone

(949) 232-1089

Fax

(949) 693-0494

NPI assigned

Jul 18, 2025

Organization subpart

No

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

Authorized official

Name

Ezzat Saeid Elsayed

Title

President

Phone

(949) 232-1089

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1386536746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 HARBOR BLVD STE 242",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261502",
            "telephone_number": "949-232-1089",
            "fax_number": "949-693-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 HARBOR BLVD STE 242",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261502",
            "telephone_number": "949-232-1089",
            "fax_number": "949-693-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORANOVA MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "ELSAYED",
        "authorized_official_first_name": "EZZAT",
        "authorized_official_middle_name": "SAEID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-232-1089"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Michelle Cook
• Ayana Yurie Cooper
• Brittany Cooper
• Jessica Cooper
• Melanie Ann Copeland, RN
• Keith Michael Corbin, DPT
• Brian Hugo Cordova
• Chelsea Cordova, RN, BSN
• Taylor Cornelia
• Cornerhealth Medical Group Inc

• Durable Medical Equipment & Medical Supplies in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.