NPIMap

Organization Active NPI

Corona Advanced Imaging Center

  • Preferred Provider Organization
  • Corona, CA
National Provider Identifier
1497913370
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
631703 Issued in CA
Legal business name
CORONA ADVANCED IMAGING CENTER
Practice address
886 Magnolia Ave
Corona, CA 92879-3105
Phone
(951) 340-0129
Fax
(951) 340-4875
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Chelsea Marie Applegate
Title
Site Manager
Phone
(951) 256-6307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 631703 CA Primary

Addresses

Primary practice location

886 Magnolia Ave
Corona, CA 92879-3105

Mailing address

886 Magnolia Ave
Corona, CA 92879-3105
Phone (951) 340-0129

National Provider Directory

National Provider Directory
Tax ID family
Beverly Radiology Medic III14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

886 Magnolia Ave
Corona, CA 92879
Phone (951) 340-0129

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1497913370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 MAGNOLIA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793105",
            "telephone_number": "951-340-0129",
            "fax_number": "951-340-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 MAGNOLIA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793105",
            "telephone_number": "951-340-0129",
            "fax_number": "951-340-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA ADVANCED IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "APPLEGATE",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SITE MANAGER",
        "authorized_official_telephone_number": "951-256-6307"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "631703",
            "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 May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.