Individual provider Active NPI

Cornelia Holmes, M.D.

  • Family Medicine Physician
  • Chino, CA
National Provider Identifier
1679961387
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A133878 Issued in CA
Practice address
12488 Central Ave Ste B
Chino, CA 91710-2625
Phone
(909) 613-0100
Fax
(909) 613-0600
NPI assigned
Jan 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A133878 CA Primary

Addresses

Primary practice location

12488 Central Ave Ste B
Chino, CA 91710-2625

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150513001512 CA Practitioner - Family Practice 4789904814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1236 N Magnolia Ave
Anaheim, CA 92801-2607
Phone (714) 995-1000

12488 Central Ave
Suite B
Chino, CA 91710-2625
Phone (909) 613-0100

1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone (909) 883-8611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
133878CAMDMarriage & Family Therapist
A133878CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 27, 2017 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Jun 27, 2017 Accepting new patients
Primecare Medical Group Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

12488 Central Ave
Chino, CA 91710
Phone (909) 613-0100

12488 Central Ave
Ste B
Chino, CA 91710
Phone (909) 613-0100

2071 Compton Ave
Ste 105
Corona, CA 92881
Phone (951) 736-0696

2071 Compton Ave
Ste 101
Corona, CA 92881
Phone (951) 290-4000

2071 Compton Ave
Ste 102
Corona, CA 92881
Phone (951) 549-0900

2071 Compton Ave
Ste 201
Corona, CA 92881

420 W Rowland St
Covina, CA 91723
Phone (626) 331-6411

14252 Schleisman Rd
Eastvale, CA 92880
Phone (951) 549-0900

14252 Schleisman Rd
Ste 101
Eastvale, CA 92880

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: n.holmes@nwami-ca.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1420243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1679961387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12488 CENTRAL AVE STE B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102625",
            "telephone_number": "909-613-0100",
            "fax_number": "909-613-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "CORNELIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-03",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A133878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.