Active NPI
Corazon S Navarro, MD
- Obstetrics & Gynecology Physician
- Montclair, CA
National Provider Identifier
1821139650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C41604
- Practice address
- 4950 San Bernardino St Ste 106
Montclair, CA 91763-2328 - Phone
- (909) 625-9063
- NPI assigned
- Feb 12, 2007
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | C41604 | CA | Primary |
| Critical Care Medicine (Obstetrics & Gynecology) Physician | 207VC0200X | C41604 | CA | |
| Reproductive Endocrinology Physician | 207VE0102X | C41604 | CA | |
| Gynecology Physician | 207VG0400X | C41604 | CA | |
| Maternal & Fetal Medicine Physician | 207VM0101X | C41604 | CA | |
| Obstetrics Physician | 207VX0000X | C41604 | CA | |
| Gynecologic Oncology Physician | 207VX0201X | C41604 | CA |
Addresses
Primary practice location
4950 San Bernardino St Ste 106
Montclair, CA 91763-2328
Mailing address
4950 San Bernardino St Ste 106
Montclair, CA 91763-2328
Phone (909) 625-9063
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0051990 | Medicaid | CA | |
| GR0051991 | Medicaid | CA | |
| GR0051992 | 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 |
|---|---|---|---|
| 41604 | CA | MD | Marriage & Family Therapist |
| C41604 | CA | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Services - Montclair, LLC | Past | Accepting new patients | |
| Pomona Valley Hospital Medical Center | Past | Accepting new patients | |
| Thomas Tuan Tong Lee MD Inc | Obstetrics & Gynecology | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- General Acute Care Hospital
- Montclair, CA
- NPI 1992721161
-
- Obstetrics & Gynecology Physician
- Montclair, CA
- NPI 1477763829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1821139650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 SAN BERNARDINO ST STE 106",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632328",
"telephone_number": "909-625-9063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 SAN BERNARDINO ST STE 106",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632328",
"telephone_number": "909-625-9063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRO",
"first_name": "CORAZON",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "C41604",
"primary": true
},
{
"code": "207VC0200X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Critical Care Medicine",
"state": "CA",
"license": "C41604",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "CA",
"license": "C41604",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "C41604",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "CA",
"license": "C41604",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "C41604",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "CA",
"license": "C41604",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0051990",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0051991",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0051992",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.