Corning Medical Associates, Inc
Organization Active NPI Family Medicine Physician · Corning, CA
NPI 1508935065 · NPPES record last updated Aug 24, 2010
Key facts
- NPI
- 1508935065
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A21329 (CA)
- Legal business name
- CORNING MEDICAL ASSOCIATES, INC
- Practice address
- 155 Solano St
Corning, CA 96021-3511 - Phone
- (530) 824-4663
- Fax
- (530) 824-5204
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Connie Massie, LCSW
- Title
- Office Manager
- Phone
- (530) 824-4663
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | LCS21280 | CA | |
| Family Medicine Physician |
207Q00000X | A21329 | CA | Yes |
| Family Medicine Physician |
207Q00000X | 20A8205 | CA | |
| Internal Medicine Physician |
207R00000X | A83711 | CA | |
| Medical Physician Assistant |
363AM0700X | PA10063 | CA | |
| Medical Physician Assistant |
363AM0700X | PA12619 | CA | |
| Medical Physician Assistant |
363AM0700X | PA10631 | CA | |
| Medical Physician Assistant |
363AM0700X | PA12458 | CA |
Addresses
Primary practice location
155 Solano St
Corning, CA 96021-3511
Mailing address
155 Solano St
Corning, CA 96021-3511
Phone (530) 824-4663
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0026340 | Medicaid | CA |
Other providers in Corning, CA
- Corning Drug Inc
- Corning Medical Associates Inc
- Corning Medical Associates, Inc
- Corning Medical Associates, Inc
- Corning Medical Associates, Inc
- Corning Union Elementary School District
- Corning Union Elementary School District
- Corning Union High School District
- David Bryan Coutin
- Jasmine A Damian Langarica
All providers in Corning, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.