Organization Active NPI

Corona Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Corona, CA
National Provider Identifier
1770023814
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CORONA SURGERY CENTER, INC
Practice address
400 E Rincon St
Suite 107
Corona, CA 92879-1389
Phone
(951) 272-2221
Fax
(951) 272-2226
NPI assigned
Mar 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Mr. James P Lin, M.D.
Title
Medical Director
Phone
(949) 272-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

400 E Rincon St
Suite 107
Corona, CA 92879-1389

Mailing address

400 E Rincon St
Suite 107
Corona, CA 92879-1389
Phone (951) 272-2221

National Provider Directory

National Provider Directory

Locations

400 E Rincon St
Ste 107
Corona, CA 92879
Phone (714) 771-9252

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1770023814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E RINCON ST",
            "address_2": "SUITE 107",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791389",
            "telephone_number": "951-272-2221",
            "fax_number": "951-272-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E RINCON ST",
            "address_2": "SUITE 107",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791389",
            "telephone_number": "951-272-2221",
            "fax_number": "951-272-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-272-5722",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

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 Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.