Organization Active NPI

Greater Corona Extended Care, Inc..

  • Urgent Care Clinic/Center
  • Corona, CA
National Provider Identifier
1982766069
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GREATER CORONA EXTENDED CARE, INC..
Practice address
500 Corona Mall
Corona, CA 92879-1420
Phone
(951) 735-9100
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Dr. Jeffery Muller, M.D.NPI 1003995754
Title
Owner
Phone
(951) 735-9211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X CA Primary

Addresses

Primary practice location

500 Corona Mall
Corona, CA 92879-1420

Mailing address

341 Magnolia Ave
Suite 201
Corona, CA 92879-3330
Phone (951) 735-9211

National Provider Directory

National Provider Directory

Locations

341 Magnolia Ave
Ste 204
Corona, CA 92879
Phone (909) 735-7200

245 Terracina Blvd
Ste 101B
Redlands, CA 92373
Phone (909) 307-0176

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1982766069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE",
            "address_2": "SUITE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793330",
            "telephone_number": "951-735-9211",
            "fax_number": "951-735-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CORONA MALL",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791420",
            "telephone_number": "951-735-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CORONA EXTENDED CARE, INC..",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-735-9211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 31, 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.

Verify at the official NPI Registry.