George N. Chidi, MD, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GEORGE N. CHIDI, MD, PA

Doing business as

Medicross Clinic & Urgent Care

Practice address

487 Magnolia Ave Ste 102
Corona, CA 92879-3306

Phone

(951) 272-5900

Fax

(951) 272-5950

NPI assigned

Jun 4, 2015

Last updated

May 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deidre Dorantes

Title

Office Manager

Phone

(951) 272-5900

Specialties & licenses 1

Addresses

Other names 1

• MEDICROSS CLINIC & URGENT CARE Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12621/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/25686/brand/1/csg/1/fhir/r4
• Direct secure messaging: info@medicrossclinic.care

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.

• George Njoku Chidi, M.D.

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1396168944
  Medicare reassignment NPD

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1760862650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 MAGNOLIA AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793306",
            "telephone_number": "951-272-5900",
            "fax_number": "951-272-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 MAGNOLIA AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793306",
            "telephone_number": "951-272-5900",
            "fax_number": "951-272-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE N. CHIDI, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "DORANTES",
        "authorized_official_first_name": "DEIDRE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-272-5900"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@MEDICROSSCLINIC.CARE",
            "affiliation": "N",
            "endpointDescription": "CLINIC EMAIL",
            "address_1": "487 Magnolia Ave Ste 102",
            "city": "Corona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928793306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MEDICROSS CLINIC & URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hailey Christyn Genova, LVN
• Cheryl Marie Gentile, COTA
• Shaniya Gentry
• George K Nguyen DDS, PC (Temescal Dental)
• George K Nguyen DDS, PC (Sycamore Creek Dental)
• Debra Alphonsa George-Barber, PH.D.
• Marie Therese Georges, FNP
• Ragy S Gergis
• Paul B Gerhardt, PHD
• Yoav Gershon, M.D.

• Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.