Organization Active NPI

Korie Medical Corporation

  • Psychiatry Physician
  • Santa Clarita, CA
National Provider Identifier
1992457162
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KORIE MEDICAL CORPORATION
Practice address
25050 Peachland Ave Ste 170
Santa Clarita, CA 91321-2523
Phone
(661) 506-0607
NPI assigned
Jan 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Ijendu Korie, MDNPI 1568826410
Title
Owner
Phone
(661) 506-0607

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

25050 Peachland Ave Ste 170
Santa Clarita, CA 91321-2523

Mailing address

25050 Peachland Ave Ste 170
Santa Clarita, CA 91321-2523
Phone (661) 506-0607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220308001947 CA Part B Supplier - Clinic/Group Practice 8820482870 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Clarita, CA

National Provider Directory

National Provider Directory

Locations

25050 Peachland Ave
Ste 170
Santa Clarita, CA 91321
Phone (661) 506-0607

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": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1992457162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25050 PEACHLAND AVE STE 170",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212523",
            "telephone_number": "661-506-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 PEACHLAND AVE STE 170",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212523",
            "telephone_number": "661-506-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORIE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "KORIE",
        "authorized_official_first_name": "IJENDU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-506-0607",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.