Corona Heights Surgery Center, LLC.

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

CORONA HEIGHTS SURGERY CENTER, LLC.

Practice address

2097 Compton Ave Ste 101
Corona, CA 92881-7282

Phone

(951) 496-3044

Fax

(856) 874-4389

NPI assigned

Sep 13, 2022

Last updated

Mar 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mazen Jamal, MD

Title

President

Phone

(949) 825-5189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437871837. Details of each certification follow.

• CCN 55C0001159 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 55C0001159

Legal name

Corona Heights Surgery Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 13, 2023

Last certification

Sep 13, 2023

Ownership / control type

Proprietary

Facility address

2097 Compton Ave
Corona, CA 92881

Locations

Practitioners 1

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.

• M. Mazen Jamal, M.D., M.P.H.

  • Gastroenterology Physician
  • Corona, CA
  • NPI 1003916727
  Medicare reassignment NPD

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1437871837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 IRVINE BLVD # 401",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022400",
            "telephone_number": "951-496-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 COMPTON AVE STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817282",
            "telephone_number": "951-496-3044",
            "fax_number": "856-874-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA HEIGHTS SURGERY CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "JAMAL",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-825-5189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corona Family Care Inc.
• Jaqueline Corona Godoy
• Corona Health Clinic, LLC
• Corona Health Specialty Associates, LLC
• Corona Health Specialty Associates, LLC
• Corona Hills Chiropractic
• Corona Hospitalist Medical Group, Inc.
• Corona Medical Center, a Professional Corporation (Corona Family Medical Associates)
• Corona Open MRI Center, LLC (Lifescape Imaging Center)
• Corona Orthopaedic Associates Medical Group Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.