Corona Superior Medicine, Inc.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A062657 Issued in CA

Legal business name

CORONA SUPERIOR MEDICINE, INC.

Practice address

1150 El Camino Ave
Suite 108
Corona, CA 92879-1784

Phone

(951) 735-3553

Fax

(951) 735-3558

NPI assigned

Nov 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Ann Garcia, M.D.

Title

Dr/Owner

Phone

(951) 735-3553

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1912459397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 EL CAMINO AVE",
            "address_2": "SUITE 108",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791784",
            "telephone_number": "951-735-3553",
            "fax_number": "951-735-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 EL CAMINO AVE",
            "address_2": "SUITE 108",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791784",
            "telephone_number": "951-735-3553",
            "fax_number": "951-735-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA SUPERIOR MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "951-735-3553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A062657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corona Residential Care Center LLC
• Corona Senior Manor LLC
• Corona Sleep & Wellness, LLC
• Corona Summit Surgery Center
• Corona Summit Surgicenter, LLC
• Corona Surgery Center, Inc
• Corona Surgery Center, LLC
• Corona Surgery Institute, LLC
• Corona Surgical Anesthesia
• Corona Surgical Center Inc.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Corona, CA
• Providers in Corona, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.