Active NPI
Cory Amador, PA-C
- Medical Physician Assistant
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA19368
- Practice address
- 197 East Caroline St.
Suite 1400
San Bernardino, CA 92408 - Phone
- (909) 558-5898
- NPI assigned
- Sep 21, 2007
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA19368 | CA | Primary |
Addresses
Primary practice location
197 East Caroline St.
Suite 1400
San Bernardino, CA 92408
Mailing address
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11370 Anderson St
Loma Linda, CA 92354-3450
25845 Barton Rd
Suite F
Loma Linda, CA 92354-3899
Phone (909) 558-2828
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19368 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Physician Assistant | Current | Accepting new patients |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Kayali Consulting and Medical Management Inc | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
11370 Anderson St
#3625
Loma Linda, CA 92354
Phone (909) 558-2850
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
28078 Baxter Rd
Ste 510
Murrieta, CA 92563
Phone (619) 466-5700
2020 Wellness Way
Ste 506
Las Vegas, NV 89106
Phone (702) 382-7055
Interoperability endpoints
- camador148394@direct.llu.edu
Organizations & group practices 7
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.
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Physician Assistant
-
- Pediatrics Physician
- Loma Linda, CA
- NPI 1477503407
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- Gastroenterology Physician
- Rialto, CA
- NPI 1205207628
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1801082946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "909-580-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 EAST CAROLINE ST.",
"address_2": "SUITE 1400",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92408",
"telephone_number": "909-558-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADOR",
"first_name": "CORY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-21",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA19368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.
- 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.