Active NPI
Corazon T Co Thein, MD
- Family Medicine Physician
- Alhambra, CA
National Provider Identifier
1982783502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C52506
- Practice address
- 1000 S Garfield Ave
Alhambra, CA 91801-4709 - Phone
- (626) 281-3383
- Fax
- (626) 281-5303
- NPI assigned
- Nov 3, 2006
- Last updated
- May 8, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C52506 | CA | Primary |
Addresses
Primary practice location
1000 S Garfield Ave
Alhambra, CA 91801-4709
Mailing address
719 N Sparks St
Burbank, CA 91506-1637
Phone (818) 471-9086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007600267 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52506 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tzu CHI Medical Group Corp | Past | Accepting new patients | |
| First Care PC | Family Medicine | Past | Accepting new patients |
| Buddhist Tzu CHI Medical Foundation | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Alhambra, CA
- NPI 1639398704
-
- Health Service Clinic/Center
- Alhambra, CA
- NPI 1275943664
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1366553364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1982783502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 N SPARKS ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061637",
"telephone_number": "818-471-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S GARFIELD AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014709",
"telephone_number": "626-281-3383",
"fax_number": "626-281-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CO THEIN",
"first_name": "CORAZON",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C52506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007600267",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.