Active NPI
Carmencita Japlit Coronel, MD
- Anesthesiology Physician
- San Bernardino, CA
National Provider Identifier
1982629499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A52820
- Practice address
- 1805 Medical Center Drive
San Bernardino, CA 92411 - Phone
- (909) 887-6333
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A52820 | CA | Primary |
| Anesthesiology Physician | 207L00000X | 22658 | AZ |
Addresses
Primary practice location
1805 Medical Center Drive
San Bernardino, CA 92411
Mailing address
1638 West Andes Drive
Upland, CA 91784
Phone (909) 982-6405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22658 | AZ | MD | Anesthesiology Physician |
| A52820 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982629499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1638 WEST ANDES DRIVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "91784",
"telephone_number": "909-982-6405",
"fax_number": "909-946-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 MEDICAL CENTER DRIVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92411",
"telephone_number": "909-887-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONEL",
"first_name": "CARMENCITA",
"middle_name": "JAPLIT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A52820",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "22658",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.