Active NPI
Christos G Bovetas, M.D.
- Internal Medicine Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A82511
- Practice address
- 2250 S Main St Ste 106
Corona, CA 92882-2501 - Phone
- (951) 371-2703
- Fax
- (951) 371-9348
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A82511 | CA | Primary |
Addresses
Primary practice location
2250 S Main St Ste 106
Corona, CA 92882-2501
Mailing address
1901 Town and Country Dr Ste 104
Norco, CA 92860-3611
Phone (951) 808-6250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2250 S Main St
Suite 106
Corona, CA 92882-2501
Phone (951) 371-2703
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 17 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82511 | CA | MD | Clinical Social Worker |
| A82511 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Medical Center of Corona Inc. | Current | Accepting new patients | |
| Citrus Valley Medical Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Uhs Corona Inc | Past | Accepting new patients | |
| Aliuddin Khaja, MD., Inc | Past | Accepting new patients | |
| Pirritano Chiropractic Corporation | Past | Accepting new patients |
Locations
2250 S Main St
Ste 106
Corona, CA 92882
Phone (951) 371-2703
2250 S Main St
Ste 203
Corona, CA 92882
Phone (800) 595-2447
1901 Town and Country Dr
Ste 104
Norco, CA 92860
Phone (951) 737-8141
940 N Haven Ave
Ste 18025
Ontario, CA 91764
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- chris.bovetas.p1@direct.cvma.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Norco, CA
- NPI 1306033709
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Corona, CA
- NPI 1023400322
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Corona, CA
- NPI 1770889545
-
- Chiropractor
- Corona, CA
- NPI 1952496028
-
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1487740262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 TOWN AND COUNTRY DR STE 104",
"city": "NORCO",
"state": "CA",
"postal_code": "928603611",
"telephone_number": "951-808-6250",
"fax_number": "951-738-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 S MAIN ST STE 106",
"city": "CORONA",
"state": "CA",
"postal_code": "928822501",
"telephone_number": "951-371-2703",
"fax_number": "951-371-9348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOVETAS",
"first_name": "CHRISTOS",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A82511",
"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 Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.