Organization Active NPI

Corona Health Specialty Associates, LLC

  • Urgent Care Clinic/Center
  • Corona, CA
National Provider Identifier
1659971042
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CORONA HEALTH SPECIALTY ASSOCIATES, LLC
Practice address
308 W 6TH St Ste 101
Corona, CA 92882-3349
Phone
(951) 737-0910
NPI assigned
Oct 27, 2020
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CITRUS VALLEY MEDICAL ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Dr. Robert Guy Nelson, M.D.NPI 1225132616
Title
President
Phone
(951) 808-6240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Nuclear Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207U00000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

308 W 6TH St Ste 101
Corona, CA 92882-3349

Mailing address

940 N Haven Ave Ste 18025
Ontario, CA 91764-4970
Phone (951) 808-6240

Other practice location 1

2250 S Main St Ste 201
Corona, CA 92882-2536
Phone (951) 734-4880

Other practice location 2

6900 Brockton Ave Ste 100
Riverside, CA 92506-3817
Phone (951) 808-6298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210911000224 CA Part B Supplier - Clinic/Group Practice 5496151748 Receives reassigned benefits from 7 practitioners
Practice locations: Riverside, CA; Eastvale, CA; Corona, CA

National Provider Directory

National Provider Directory
Part of
Citrus Valley Medical Assoc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1659971042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N HAVEN AVE STE 18025",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644970",
            "telephone_number": "951-808-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W 6TH ST STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823349",
            "telephone_number": "951-737-0910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 S Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928822536",
            "country_code": "US",
            "telephone_number": "951-734-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6900 Brockton Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925063817",
            "country_code": "US",
            "telephone_number": "951-808-6298",
            "fax_number": "951-523-7065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORONA HEALTH SPECIALTY ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITRUS VALLEY MEDICAL ASSOCIATES, INC.",
        "enumeration_date": "2020-10-27",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-808-6240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.