Active NPI
Multispeciality and Occupational Injury Medical Center a Med Corp
- Internal Medicine Physician
- Corona, CA
National Provider Identifier
1831408061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A68736
- Legal business name
- MULTISPECIALITY AND OCCUPATIONAL INJURY MEDICAL CENTER A MED CORP
- Practice address
- 703 Magnolia Ave
Corona, CA 92879-3118 - Phone
- (951) 340-2178
- Fax
- (951) 340-2478
- NPI assigned
- Oct 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stella Ara
- Title
- Office Manager/Biller
- Phone
- (951) 340-2178
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A68736 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A70230 | CA |
Addresses
Primary practice location
703 Magnolia Ave
Corona, CA 92879-3118
Mailing address
703 Magnolia Ave
Corona, CA 92879-3118
Phone (951) 340-2178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A687360 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
703 Magnolia Ave
Corona, CA 92879
Phone (951) 340-2178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299456000000",
"number": "1831408061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 MAGNOLIA AVE",
"city": "CORONA",
"state": "CA",
"postal_code": "928793118",
"telephone_number": "951-340-2178",
"fax_number": "951-340-2478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAGNOLIA AVE",
"city": "CORONA",
"state": "CA",
"postal_code": "928793118",
"telephone_number": "951-340-2178",
"fax_number": "951-340-2478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTISPECIALITY AND OCCUPATIONAL INJURY MEDICAL CENTER A MED CORP",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-06",
"last_updated": "2011-03-07",
"status": "A",
"authorized_official_last_name": "ARA",
"authorized_official_first_name": "STELLA",
"authorized_official_title_or_position": "OFFICE MANAGER/BILLER",
"authorized_official_telephone_number": "951-340-2178"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A68736",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A70230",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A687360",
"state": "CA"
}
],
"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 Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.