Individual provider Active NPI

Michael Corbin

  • Nurse Practitioner
  • Chula Vista, CA
National Provider Identifier
1851962401
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
61781 Issued in CA
Practice address
263 Church Ave
Chula Vista, CA 91910-2728
Phone
(951) 676-4193
NPI assigned
Jul 6, 2021
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WE0003X RN95191584 CA
Nurse Practitioner 363L00000X 61781 CA Primary

Addresses

Primary practice location

263 Church Ave
Chula Vista, CA 91910-2728

Mailing address

41923 2ND St
Temecula, CA 92590-2832

Other practice location 1

14362 Ramona Blvd
Baldwin Park, CA 91706-3241
Phone (626) 815-6000 ext. 5594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215003948 CA Practitioner - Nurse Practitioner 4587008735 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rancho Family Medical Group IncGroup PAC ID 6305741240, 112 clinicians

Practice addresses (Care Compare)

263 Church Ave
Chula Vista, CA 91910-2728
Phone (619) 422-1324

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN95191584CAMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Care Single Specialty CurrentSince Oct 4, 2024 Accepting new patients
Central Health Plan of California, Inc. Single Specialty CurrentSince Oct 4, 2024 Accepting new patients
Rancho Family Medical Group, Inc. Single Specialty CurrentSince Dec 9, 2024 Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients

Locations

263 Church Ave
Chula Vista, CA 91910
Phone (619) 422-1324

340 Fourth Ave
Ste 9
Chula Vista, CA 91910
Phone (619) 202-4994

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

28780 Single Oak Dr
Ste 160
Temecula, CA 92590
Phone (951) 658-9461

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1851962401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41923 2ND ST",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 CHURCH AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102728",
            "telephone_number": "951-676-4193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14362 Ramona Blvd",
            "address_purpose": "LOCATION",
            "city": "Baldwin Park",
            "state": "CA",
            "postal_code": "917063241",
            "country_code": "US",
            "telephone_number": "626-815-6000 x5594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-06",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "RN95191584",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "61781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.