Corona Summit Surgicenter, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CORONA SUMMIT SURGICENTER, LLC

Doing business as

Corona Summit Surgical Center

Practice address

2370 Anselmo Dr
Corona, CA 92879-7106

Phone

(951) 736-0137

Fax

(951) 734-3597

NPI assigned

Jul 19, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William G Swinney

Title

VP

Phone

(972) 789-2877

Specialties & licenses 1

Addresses

Other names 1

• Corona Summit Surgical Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1821723321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 ANSELMO DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 ANSELMO DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797106",
            "telephone_number": "951-736-0137",
            "fax_number": "951-734-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA SUMMIT SURGICENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "SWINNEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "972-789-2877"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corona Summit Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corona Summit Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Corona Summit Surgery Center
• Corona Superior Medicine, Inc.
• Corona Surgery Center, Inc
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• Corona Surgery Institute, LLC
• Corona Surgical Anesthesia

• Ambulatory Surgical Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.