Active NPI
Manuel Buenrostro
- Land Ambulance
- Corona, CA
National Provider Identifier
1679813653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- N5465100
- Practice address
- 1450 W 6TH St Ste 201
Corona, CA 92882-6516 - Phone
- (951) 372-0556
- NPI assigned
- Feb 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | N5465100 | CA | Primary |
Addresses
Primary practice location
1450 W 6TH St Ste 201
Corona, CA 92882-6516
Mailing address
PO Box 76002
Anaheim, CA 92809-7602
Phone (951) 372-0556
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N5465100 | CA | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corona Health Clinic, LLC | Past | Accepting new patients | |
| Medsense Medical, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Corona, CA
- NPI 1477899763
-
- Internal Medicine Physician
- Ontario, CA
- NPI 1629313150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1679813653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 76002",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928097602",
"telephone_number": "951-372-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 W 6TH ST STE 201",
"city": "CORONA",
"state": "CA",
"postal_code": "928826516",
"telephone_number": "951-372-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUENROSTRO",
"first_name": "MANUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "CA",
"license": "N5465100",
"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 Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.