NPIMap

Organization Active NPI

County of Riverside

  • Public Health or Welfare Agency
  • Corona, CA
National Provider Identifier
1962575779
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF RIVERSIDE
Practice address
750 Corona Ave
Corona, CA 92879-1074
Phone
(951) 736-3396
Fax
(951) 736-7127
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Geoffrey Won-Chen Leung, MD
Title
Pho - Admin Physician III
Phone
(951) 358-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

750 Corona Ave
Corona, CA 92879-1074

Mailing address

P. 0. Box 7600
Riverside, CA 92513-9923
Phone (951) 358-5401

Other identifiers 1

IdentifierTypeStateIssuer
CCS00008FOtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • Corona Medical Therapy Unit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside County Dept244 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

750 Corona Ave
Corona, CA 92879
Phone (951) 736-3396

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1962575779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. 0. BOX 7600",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925139923",
            "telephone_number": "951-358-5401",
            "fax_number": "951-358-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CORONA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791074",
            "telephone_number": "951-736-3396",
            "fax_number": "951-736-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "WON-CHEN",
        "authorized_official_title_or_position": "PHO - ADMIN PHYSICIAN III",
        "authorized_official_telephone_number": "951-358-5121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "CCS00008F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corona Medical Therapy Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.