Active NPI
Corona Physicians Associates, a Medical Corp
- Family Medicine Physician
- Corona, CA
National Provider Identifier
1891899175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CORONA PHYSICIANS ASSOCIATES, A MEDICAL CORP
- Practice address
- 217 E 3Rd St
Corona, CA 92879-1438 - Phone
- (951) 273-1188
- Fax
- (951) 284-5602
- NPI assigned
- Sep 8, 2006
- 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
- Octavio Ruiz-Villalpando, M.D.
- Title
- Medical Director
- Phone
- (951) 273-1188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
217 E 3Rd St
Corona, CA 92879-1438
Mailing address
217 E 3Rd St
Corona, CA 92879-1438
Phone (951) 273-1188
Other names 1
- Corona Clinica Medica Familiar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1649387879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439769600000",
"number": "1891899175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 E 3RD ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928791438",
"telephone_number": "951-273-1188",
"fax_number": "951-346-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E 3RD ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928791438",
"telephone_number": "951-273-1188",
"fax_number": "951-284-5602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORONA PHYSICIANS ASSOCIATES, A MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2015-08-17",
"status": "A",
"authorized_official_last_name": "RUIZ-VILLALPANDO",
"authorized_official_first_name": "OCTAVIO",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "951-273-1188",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Corona Clinica Medica Familiar",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.