Amber Randolph Corea

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

10587-R Issued in CA

Practice address

16314 Cornuta Ave
Bellflower, CA 90706-4814

Phone

(562) 461-9272

NPI assigned

Mar 15, 2017

Last updated

Mar 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southern California Alcohol & Drug Programs, Inc.

  dba Angel Step Inn Too

  • Children's Substance Abuse Rehabilitation Facility
  • Bellflower, CA
  • NPI 1538258777
  NPD (past)

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1942741533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15719 EUCALYPTUS AVE",
            "address_2": "21",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063852",
            "telephone_number": "562-565-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16314 CORNUTA AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064814",
            "telephone_number": "562-461-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH COREA",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "10587-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Ramirez
• Thomas Martin Ramm, CPO
• Ramona Guest Home
• Milagro D. Ramos, MD
• Nancy Ramos, MD
• John Ravera, DDS
• Niraj Rawal, MD
• Gina Gutierrez Rawson, N.P.
• Ray's Nursing Care, Inc.
• Raymond Wang DDS Dental Corp

• Substance Abuse Rehabilitation Facility in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.