Cornerstone Primary Care, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MD 00023599 Issued in WA

Legal business name

CORNERSTONE PRIMARY CARE, PLLC

Practice address

17900 Talbot Rd S Ste 102
Renton, WA 98055-8212

Phone

(425) 255-9310

NPI assigned

Feb 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. John Mayeno, MDNPI 1568579092

Title

Member

Phone

(425) 255-9310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary H Kato, MD

  • Family Medicine Physician
  • Renton, WA
  • NPI 1801903323
  Medicare reassignment Care Compare group NPD
• John K Mayeno, MD

  • Family Medicine Physician
  • Renton, WA
  • NPI 1568579092
  Medicare reassignment NPD Authorized official
• Craig M McGoran, MD

  • Family Medicine Physician
  • Renton, WA
  • NPI 1295744209
  Medicare reassignment Care Compare group NPD
• Doris Rosellini, MD

  • Family Medicine Physician
  • Pittsburg, CA
  • NPI 1730193012

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1841681707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 TALBOT RD S STE 102",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980558212",
            "telephone_number": "425-255-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 TALBOT RD S STE 102",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980558212",
            "telephone_number": "425-255-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "MAYENO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-255-9310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "MD 00023599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Cooper, PT
• Karen A Cope
• Corbin Chiropractic Clinic PLLC
• Kimberly Ann Corbin Waters, D.C.
• Roger Corn, CP
• Shannon Taylor Corrigan, M.D.
• Claudia I Cortes
• Elizabeth Jeanmarie Corwin, DPT
• Amanda Rose Cosand, M.A CCC-SLP
• Britan Cosand, OT

• Health Service Clinic/Center in Renton, WA
• Providers in Renton, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.