Active NPI
David Monarrez, MD
- General Practice Physician
- Corona, CA
National Provider Identifier
1770512287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A048724
- Practice address
- 1307 W 6TH St
Suite 113
Corona, CA 92882-3294 - Phone
- (951) 278-8910
- Fax
- (951) 278-9895
- NPI assigned
- Jun 30, 2006
- Last updated
- Mar 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A048724 | CA | Primary |
Addresses
Primary practice location
1307 W 6TH St
Suite 113
Corona, CA 92882-3294
Mailing address
31739 Riverside Dr Ste A1
Lake Elsinore, CA 92530-7818
Phone (951) 245-0505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A487240 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A048724 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calais Community Hospital | Past | Accepting new patients | |
| Lake Elsinore Clinica Medica Familiar a Medical Corporation | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lake Elsinore Clinica Medica Familiar
- Family Medicine Physician
- Lake Elsinore, CA
- NPI 1851625396
-
- Medicare Defined Swing Bed Hospital Unit
- Calais, ME
- NPI 1376546143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1770512287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31739 RIVERSIDE DR STE A1",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925307818",
"telephone_number": "951-245-0505",
"fax_number": "951-245-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 W 6TH ST",
"address_2": "SUITE 113",
"city": "CORONA",
"state": "CA",
"postal_code": "928823294",
"telephone_number": "951-278-8910",
"fax_number": "951-278-9895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONARREZ",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A048724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A487240",
"state": "CA"
}
],
"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 Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.