Active NPI
Virgencita M Cortes, MD
- Internal Medicine Physician
- Covina, CA
National Provider Identifier
1780788497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A38214
- Practice address
- 1433 N Hollenbeck Ave
Suite 200
Covina, CA 91722-1558 - Phone
- (626) 331-2209
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A38214 | CA | Primary |
Addresses
Primary practice location
1433 N Hollenbeck Ave
Suite 200
Covina, CA 91722-1558
Mailing address
1433 N Hollenbeck Ave
Suite 200
Covina, CA 91722-1558
Phone (626) 331-2209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A382140 | 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 |
|---|---|---|---|
| 38214 | CA | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanate Health Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Citrus Valley Medical Center Queen Of the Valley Campus
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1780788497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 N HOLLENBECK AVE",
"address_2": "SUITE 200",
"city": "COVINA",
"state": "CA",
"postal_code": "917221558",
"telephone_number": "626-331-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 N HOLLENBECK AVE",
"address_2": "SUITE 200",
"city": "COVINA",
"state": "CA",
"postal_code": "917221558",
"telephone_number": "626-331-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES",
"first_name": "VIRGENCITA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A38214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A382140",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.