Active NPI
Anastacia Corona
- Addiction (Substance Use Disorder) Counselor
- Redlands, CA
National Provider Identifier
1649480997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1323 W Colton Ave Ste 100
Redlands, CA 92374-2853 - Phone
- (909) 335-7067
- Fax
- (909) 792-2045
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1323 W Colton Ave Ste 100
Redlands, CA 92374-2853
Mailing address
PO Box 7369
Redlands, CA 92375-0369
Phone (909) 335-7067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5744 | Other | CA | SIMON STAFF NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649480997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7369",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923750369",
"telephone_number": "909-335-7067",
"fax_number": "909-792-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 W COLTON AVE STE 100",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742853",
"telephone_number": "909-335-7067",
"fax_number": "909-792-2045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONA",
"first_name": "ANASTACIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIMON STAFF NUMBER",
"identifier": "5744",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.