Individual provider Active NPI

Annette Coria

  • Rehabilitation Practitioner
  • Grand Terrace, CA
National Provider Identifier
1538096565
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
21935 Van Buren St
Grand Terrace, CA 92313-5652
Phone
(909) 906-1023
NPI assigned
May 5, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

21935 Van Buren St
Grand Terrace, CA 92313-5652

Mailing address

21935 Van Buren St
Grand Terrace, CA 92313-5652
Phone (909) 906-1023

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2026.

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1538096565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21935 VAN BUREN ST",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135652",
            "telephone_number": "909-906-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21935 VAN BUREN ST",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135652",
            "telephone_number": "909-906-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORIA",
        "first_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Terrace, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.