Juan S Corredor, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A24860 Issued in CA

Practice address

3291 Skypark Dr
Torrance, CA 90505-5004

Phone

(310) 325-4517

Fax

(310) 325-1144

NPI assigned

May 24, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Internal Medicine and Nephrology Med. Group Inc.

  • Nephrology Physician
  • Torrance, CA
  • NPI 1497759104
  NPD

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1962405738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 SKYPARK DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055004",
            "telephone_number": "310-325-4517",
            "fax_number": "310-325-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 SKYPARK DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055004",
            "telephone_number": "310-325-4517",
            "fax_number": "310-325-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREDOR",
        "first_name": "JUAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A24860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilena Coronado
• Stephanie Anne Corp, D.O
• Ismael Corral Jr.
• Juan Carlos Corral, BCBA
• Gabriel Correa II
• Lavina Corsbie
• Monica Diana Cortella, MFT, ATR
• Jessica J Cortes
• Leilani Marie Cortes, MS, ATC
• Magali Cortes

• Nephrology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.