Raffaele M. Corbisiero M.D. Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

RAFFAELE M. CORBISIERO M.D. INC

Practice address

210 S Grand Ave Ste 207
Glendora, CA 91741-4268

Phone

(626) 914-5051

Fax

(626) 914-5068

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raffaele M Corbisiero, M.D.NPI 1730172453

Title

Owner

Phone

(626) 914-5051

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raffaele M Corbisiero Sr., MD

  • Surgery Physician
  • Glendora, CA
  • NPI 1730172453
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1568656817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE STE 207",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414268",
            "telephone_number": "626-914-5051",
            "fax_number": "626-914-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE STE 207",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414268",
            "telephone_number": "626-914-5051",
            "fax_number": "626-914-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFAELE M. CORBISIERO M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "CORBISIERO",
        "authorized_official_first_name": "RAFFAELE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-914-5051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.