Active NPI
Corona Pain Management Center
- Ambulatory Surgical Clinic/Center
- Corona, CA
National Provider Identifier
1760740674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CORONA PAIN MANAGEMENT CENTER
- Practice address
- 1810 Fullerton Ave
Suite 103
Corona, CA 92881-3103 - Phone
- (951) 734-7246
- NPI assigned
- Apr 27, 2012
- 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
- Khuram A Sial, M.D.
- Title
- President
- Phone
- (951) 734-7246
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1810 Fullerton Ave
Suite 103
Corona, CA 92881-3103
Mailing address
31569 Canyon Estates Dr Ste 135
Lake Elsinore, CA 92532-0472
Phone (951) 734-7246
Other names 1
- Corona Specialty Care Surgery Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Corona, CA
- NPI 1508825381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1760740674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31569 CANYON ESTATES DR STE 135",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925320472",
"telephone_number": "951-734-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 FULLERTON AVE",
"address_2": "SUITE 103",
"city": "CORONA",
"state": "CA",
"postal_code": "928813103",
"telephone_number": "951-734-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORONA PAIN MANAGEMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-27",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "SIAL",
"authorized_official_first_name": "KHURAM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-734-7246",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Corona Specialty Care Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corona, CA
- Corona Hospitalist Medical Group, Inc.
- Corona Medical Center, a Professional Corporation
- Corona Open MRI Center, LLC
- Corona Orthopaedic Associates Medical Group Inc
- Corona Outpatient Surgicenter, LLC
- Corona Pediatrics
- Corona Physical Therapy, Inc.
- Corona Physicians Associates, a Medical Corp
- Corona Post Acute LLC
- Corona Psychiatric Nursing Services, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.