Cornerstone Primary Care Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

FNP544411 Issued in CA

Legal business name

CORNERSTONE PRIMARY CARE INC

Practice address

112 La Casa Via
Suite 135
Walnut Creek, CA 94598-3091

Phone

(925) 378-4040

Fax

(925) 300-4224

NPI assigned

Mar 15, 2015

Last updated

Jun 3, 2015By 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. Anthony T Bernens, M.D.

Title

Coo and Cfo

Phone

(925) 890-0415

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1528451523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA",
            "address_2": "SUITE 135",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983091",
            "telephone_number": "925-378-4040",
            "fax_number": "925-300-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA",
            "address_2": "SUITE 135",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983091",
            "telephone_number": "925-378-4040",
            "fax_number": "925-300-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-15",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "BERNENS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "COO AND CFO",
        "authorized_official_telephone_number": "925-890-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "FNP544411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gretta Casey Corig, RDN
• Roger Douglas Cornwall, MD
• Alejandro Corona
• Angela Corona
• Alejandro Dario Coronel
• Gladys Coronel

• Primary Care Clinic/Center in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.