CENTRAL OCCUPATIONAL MEDICINE PROVIDERS - ONTARIO, A MEDICAL CORPORATI


Address: 1690 W 6th St, Suite K, Corona, CA 92882-2910
Phone: 9517369500

CENTRAL OCCUPATIONAL MEDICINE PROVIDERS - ONTARIO, A MEDICAL CORPORATI (NPI# 1295093953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295093953
Entity Type Organization
Organization Name CENTRAL OCCUPATIONAL MEDICINE PROVIDERS - ONTARIO, A MEDICAL CORPORATI
Other Organization Name COMP
Practice Address 1690 W 6th St
Suite K
Corona
CA 92882-2910
Mailing Address 4300 Central Ave
Riverside
CA 92506-2918
Practice Telephone 9517369500
Practice Fax Number 9517369512
Mailing Telephone 9512222206
Mailing Fax Number 9512222196
Enumeration Date 2012-05-01
Last Update Date 2015-04-14
Authorized Official Name MR. GREGORY JOSEPH SPEER (ADMINISTRATOR)
Authorized Official Telephone 9512222206
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine A48324 CA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 20A5982 CA Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine A48512 CA Allopathic & Osteopathic Physicians
N 208D00000X General Practice G70519 CA Allopathic & Osteopathic Physicians
N 208D00000X General Practice 20A9190 CA Allopathic & Osteopathic Physicians
N 208D00000X General Practice G72529 CA Allopathic & Osteopathic Physicians
Y 261QX0100X Clinic/Center
Specialization: Occupational Medicine
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
COMP Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1588922157 Central Occupational Medicine Providers - Ontario, A Medical Corporati Clinic/Center 3688 S Soto St, Vernon, CA 90058-1701 2012-05-02
1679831242 Central Occupational Medicine Providers - Ontario, A Medical Corporati Clinic/Center 18575 Gale Ave, Suite 155, City of Industry, CA 91748-1340 2012-05-02
1760740336 Central Occupational Medicine Providers - Ontario, A Medical Corporati Family Medicine 295 E Caroline St, Suite D-1, San Bernardino, CA 92408-3700 2012-05-02
1669730321 Central Occupational Medicine Providers - Ontario, A Medical Corporati Family Medicine 59 S Milliken Ave, Suite 100, Ontario, CA 91761-7811 2012-05-01
1104184860 Central Occupational Medicine Providers - Ontario, A Medical Corporati Family Medicine 13800 Heacock St, Suite C136, Moreno Valley, CA 92553-3339 2012-05-01

Office Location

Street Address 1690 W 6TH ST
SUITE K
City CORONA
State CA
Zip Code 92882-2910

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1477060499 Shilpy Kanda Physician Assistant 2250 S Main St Ste 107, Corona, CA 92882 2017-12-29
1831616333 Cindy Ruiz Behavioral Analyst 2868 Briarhaven Ln, Corona, CA 92882 2017-08-24
1366965667 3 Vest Medical Transportation Wc LLC Non-emergency Medical Transport (VAN) 3256 Rural Lane, Corona, CA 92882 2017-07-19
1477073468 Adrian Macias I Counselor 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 2017-06-21
1699205286 Sylvia Barrow Counselor 2275 South Main Street Suite 201, Corona, CA 92882 2017-06-15
1417348574 Pensar Medical Durable Medical Equipment & Medical Supplies 1269 Pomona Rd Ste 107, Corona, CA 92882 2015-02-11
1215327085 Anne Maureen Sims Social Worker 2275 South Main, #201, Corona, CA 92882 2015-01-30
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Taxonomy Information

Taxonomy Code 261QX0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Occupational Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720688708 Kings Industrial Occupational Medical Center Inc Clinic/Center 936 G St Ste B, Reedley, CA 93654-2627 2020-10-28
1467067280 Michael Scott Weiner Clinic/Center 2388 Ginger Cir, Newbury Park, CA 91320-3349 2020-09-09
1790396547 Oak Valley Hospital District Clinic/Center 250 S Oak Ave Ste A4, Oakdale, CA 95361-3572 2020-08-14
1013543693 Healthworks Med Group of California A Medical Corporation Clinic/Center 3600 Juliette Ln # Sr9-01, Santa Clara, CA 95054-1540 2020-03-16
1386287878 Starlight Therapy Center Inc Clinic/Center 1235 Indiana Ct Ste 107, Redlands, CA 92374-4540 2019-10-28
1356819924 Unete Healthcare Associates LLC Clinic/Center 928 S Broadway Apt 813, Los Angeles, CA 90015-4578 2018-11-13
1669956710 Sacramento Occupational Medical Center Clinic/Center 3840 Watt Ave., Number B, Sacramento, CA 95821-2640 2018-09-24
1487106217 Imperial Valley Occupational Medicine Clinic/Center 1850 W Main St Ste E, El Centro, CA 92243-2106 2016-10-27
1306205570 Blue Oak Medical Group Clinic/Center 4300 Long Beach Blvd Ste 170, Long Beach, CA 90807 2016-02-17
1225495203 Blue Oak Medical Group Clinic/Center 10832 Laurel St Ste 102, Rancho Cucamonga, CA 91730 2016-01-22
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Competitor

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City CORONA
Zip Code 92882

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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