NPIMap

Organization Active NPI

Jose Maria Partida Corona MD PC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1417112970
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11639 Issued in NV
Legal business name
JOSE MARIA PARTIDA CORONA MD PC
Practice address
2950 E Flamingo Rd
Suite E
Las Vegas, NV 89121-5208
Phone
(702) 565-6004
Fax
(702) 566-6009
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Jose Maria Partida Corona, MDNPI 1477518801
Title
President
Phone
(702) 565-6004

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 11639 NV Primary

Addresses

Primary practice location

2950 E Flamingo Rd
Suite E
Las Vegas, NV 89121-5208

Mailing address

2950 E Flamingo Rd
Suite E
Las Vegas, NV 89121-5208
Phone (702) 565-6004

Other identifiers 1

IdentifierTypeStateIssuer
1417112970MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080917000443 NV Part B Supplier - Clinic/Group Practice 5799852729 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Tax ID family
Jose Maria Partida Corona MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1417112970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD",
            "address_2": "SUITE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215208",
            "telephone_number": "702-565-6004",
            "fax_number": "702-566-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD",
            "address_2": "SUITE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215208",
            "telephone_number": "702-565-6004",
            "fax_number": "702-566-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE MARIA PARTIDA CORONA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "PARTIDA CORONA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-565-6004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417112970",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.