Active NPI
Iemisi
- Special Hospital
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- Legal business name
- IEMISI
- Practice address
- 1902 Fullerton Ave # 1
Corona, CA 92881-3112 - Phone
- (951) 479-8994
- NPI assigned
- Dec 23, 2020
- Last updated
- Dec 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Sedrak, MD
- Title
- Director
- Phone
- (310) 728-0494
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | Primary |
Addresses
Primary practice location
1902 Fullerton Ave # 1
Corona, CA 92881-3112
Mailing address
1902 Fullerton Ave # 1
Corona, CA 92881-3112
National Provider Directory
National Provider Directory- Tax ID family
- Iemisi
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1902 Fullerton Ave
#1
Corona, CA 92881
Phone (951) 479-8994
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Corona, CA
- NPI 1750464111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608681600000",
"number": "1689261729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 FULLERTON AVE # 1",
"city": "CORONA",
"state": "CA",
"postal_code": "928813112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 FULLERTON AVE # 1",
"city": "CORONA",
"state": "CA",
"postal_code": "928813112",
"telephone_number": "951-479-8994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IEMISI",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-23",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A",
"authorized_official_last_name": "SEDRAK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "310-728-0494",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"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 Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.