Active NPI
Abel Corona
- Dental Hygienist
- Watsonville, CA
National Provider Identifier
1801360110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 22631
- Practice address
- 204 E Beach St
Watsonville, CA 95076-4809 - Phone
- (831) 728-0222
- NPI assigned
- Jan 20, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 22631 | CA | Primary |
Addresses
Primary practice location
204 E Beach St
Watsonville, CA 95076-4809
Mailing address
13607 Monte del Sol
Castroville, CA 95012-2914
Phone (831) 428-2057
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22631 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547942400000",
"number": "1801360110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13607 MONTE DEL SOL",
"city": "CASTROVILLE",
"state": "CA",
"postal_code": "950122914",
"telephone_number": "831-428-2057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E BEACH ST",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950764809",
"telephone_number": "831-728-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONA",
"first_name": "ABEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-20",
"last_updated": "2019-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "22631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.