Porterville Care Inc

Primary specialty

Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X

Legal business name

PORTERVILLE CARE INC

Practice address

900 S Main St Ste 105
Corona, CA 92882-3401

Phone

(951) 363-0243

Fax

(310) 363-0249

NPI assigned

Mar 25, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Beverly LewisNPI 1760456529

Title

Medical Director

Phone

(951) 363-0243

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Beverly Lewis, MD

  • Dermatology Physician
  • Corona, CA
  • NPI 1760456529
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1982354577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823401",
            "telephone_number": "951-363-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823401",
            "telephone_number": "951-363-0243",
            "fax_number": "310-363-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERVILLE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-363-0243",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 S Main St Ste 105",
            "city": "Corona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928823401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rita Ponce, RDA
• Meagan Joy Ponciano, PA-C
• Eva Pope
• Regan Rochelle Pope
• Alexandra Popoca
• Laura Posada
• Lori Posey, DDS
• Tina Marie Posey, LMFT
• Michelle Post
• Jennifer Marie Potter, IBCLC

• Dermatology Physician in Corona, CA
• Providers in Corona, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.