Organization Active NPI

Crown Medical Group

  • Medical Specialty Clinic/Center
  • Murrieta, CA
National Provider Identifier
1992022123
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
385348 Issued in CA
Legal business name
CROWN MEDICAL GROUP
Practice address
25470 Medical Center Dr
Suite 205
Murrieta, CA 92562-4900
Phone
(951) 677-0215
NPI assigned
Apr 28, 2010
Last updated
Apr 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Dr. Joan Hazel Calinisan, MD
Title
Medical Director
Phone
(951) 677-0215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 385348 CA Primary

Addresses

Primary practice location

25470 Medical Center Dr
Suite 205
Murrieta, CA 92562-4900

Mailing address

24013 Kaleb Dr
Corona, CA 92883-9387
Phone (951) 603-3088

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1992022123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24013 KALEB DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928839387",
            "telephone_number": "951-603-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR",
            "address_2": "SUITE 205",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624900",
            "telephone_number": "951-677-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "CALINISAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "HAZEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-677-0215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "385348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.