Individual provider Active NPI

Corey H Everett, NP-C

  • Family Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1922511187
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10170973 Issued in CA
Practice address
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone
(951) 486-4000
NPI assigned
Nov 9, 2017
Last updated
Nov 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10170973 CA Primary

Addresses

Primary practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Mailing address

19830 Cuyama LN
Riverside, CA 92508-3238
Phone (951) 990-0628

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
I20180202001447 CA Practitioner - Nurse Practitioner 1850651241 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10170973CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Hospitalist Medicine Physicians of California, Inc CurrentSince Jul 16, 2023 Accepting new patients
Cep America - California CurrentSince Jan 10, 2018 Accepting new patients
Midwest Post-Acute Care of California PC CurrentSince Apr 17, 2023 Accepting new patients
Cep America-California CurrentSince Jan 10, 2018 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Aug 20, 2019 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Aug 20, 2019 Accepting new patients
Mpac SMH of California PC CurrentSince Apr 10, 2023 Accepting new patients
Midwest Post Acute Care PLLC Past Accepting new patients

Locations

27555 Rimrock Rd
Barstow, CA 92311
Phone (760) 252-2515

5454 Walnut Ave
Chino, CA 91710
Phone (760) 450-5679

6400 Purdue Dr
Eureka, CA 95503
Phone (707) 443-5668

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

1575 Skyline Dr
Monterey, CA 93940
Phone (831) 373-2731

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

3232 Thunder Dr
Oceanside, CA 92056
Phone (760) 724-2193

1455 Auto Center Dr
Ste 150
Ontario, CA 91761
Phone (909) 605-7000

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

4070 Jurupa Ave
Riverside, CA 92506
Phone (301) 308-8995

8171 Magnolia Ave
Riverside, CA 92504
Phone (951) 657-3842

830 E Chapel St
Santa Maria, CA 93454
Phone (805) 544-5100

27600 Encanto Dr
Sun City, CA 92586
Phone (951) 679-6858

250 Fairview Rd
Thousand Oaks, CA 91361
Phone (707) 964-6333

7057 Shoup Ave
West Hills, CA 91307
Phone (818) 348-8422

Interoperability endpoints

  • Direct secure messaging: ceverett102629@direct.llu.edu

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1922511187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19830 CUYAMA LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925083238",
            "telephone_number": "951-990-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "951-486-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "COREY",
        "middle_name": "H",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F10170973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.