Fred A Corey, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G34184 Issued in CA

Practice address

6386 Alvarado CT
#310
San Diego, CA 92120-4905

Phone

(619) 229-5055

Fax

(619) 287-0833

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229126400000",
    "number": "1912989674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT",
            "address_2": "#310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204905",
            "telephone_number": "619-229-5055",
            "fax_number": "619-287-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT",
            "address_2": "#310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204905",
            "telephone_number": "619-229-5055",
            "fax_number": "619-287-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "FRED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G34184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G341840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Core San Diego
• Core to Floor Physical Therapy PC
• Corene J. Poelman, D.D.S., M.S., Apc
• Christy Jill Corey, RADT-I
• Cindy C Corey, PSYD
• Paul William Corey, MD
• Estefany Jaquelin Coria Guzman, APCC
• Corinne Hardisty, LMFT, Marriage and Family Therapy Professional Corporation
• Jennifer Carleen Corke, MFT
• Kristen Corkum, LPCC

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2008; 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.