Active NPI
Loricar Santos
- Internal Medicine Physician
- Corona, CA
National Provider Identifier
1790420347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 95019087
- Practice address
- 800 S Main St
Corona, CA 92882-3420 - Phone
- (951) 737-4343
- NPI assigned
- Apr 28, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 95019087 | CA | Primary |
Addresses
Primary practice location
800 S Main St
Corona, CA 92882-3420
Mailing address
217 E 8TH St Apt 903
Los Angeles, CA 90014-2394
Phone (562) 316-6408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95019087 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Im-FSR Inc. | Multi-Specialty | Current | Accepting new patients |
| Hospitalist Group of Montebello Inc | Multi-Specialty | Current | Accepting new patients |
| Sunrise Medical Associates Inc | Multi-Specialty | Current | Accepting new patients |
Locations
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342
1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1790420347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 E 8TH ST APT 903",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900142394",
"telephone_number": "562-316-6408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S MAIN ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928823420",
"telephone_number": "951-737-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "LORICAR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-28",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "95019087",
"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 Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.