CORONA SURGICAL LLC (NPI# 1356616064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356616064 |
| Entity Type | Organization |
| Organization Name | CORONA SURGICAL LLC |
| Other Organization Name | CORONA SUMMIT SURGICAL CENTER |
| Practice Address |
2370 Anselmo Drive Corona CA 92879 |
| Practice Telephone | 9517360137 |
| Practice Fax Number | 9517343597 |
| Mailing Telephone | 9517360137 |
| Mailing Fax Number | 9517343597 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | MR. FRANK EDWARD SZCZESNIAK III (ADMINISTRATOR) |
| Authorized Official Telephone | 9517360137 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Corona Summit Surgical Center | Doing Business As Name - Organization |
| Street Address |
2370 ANSELMO DRIVE |
| City | CORONA |
| State | CA |
| Zip Code | 92879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1629342142 | Sandra Renay Robinson | Licensed Vocational Nurse | 2280 Treemont Place, Apt 104, Corona, CA 92879 | 2012-03-01 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897697 | Circle City Surgery Center | Clinic/Center | 1810 Fullerton Ave Ste 103, Corona, CA 92881-3103 | 2020-03-26 |
| 1083070494 | Inland Empire Minimally Invasive Surgery Institute Inc | Clinic/Center | 1902 Fullerton Ave, Suite 101, Corona, CA 92881-3112 | 2016-01-14 |
| 1073986527 | Corona Summit Surgery Center | Clinic/Center | 2370 Anselmo Dr, Corona, CA 92879-7109 | 2015-11-05 |
| 1902234230 | Mainbridge Surgery Center Inc. | Clinic/Center | 400 E Rincon St, Suite 107, Corona, CA 92879-1389 | 2013-10-23 |
| 1922385350 | Inland Empire Surgical Center Lp | Clinic/Center | 381 Corporate Terrace Cir, Corona, CA 92879-6028 | 2011-11-14 |
| 1093047870 | Corona Surgical Center Inc. | Clinic/Center | 381 Corporate Terrace, Suite B, Corona, CA 92879-6028 | 2010-02-04 |
| 1760043426 | Rmc Surgery Center Inc | Clinic/Center | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2019-06-24 |
| 1770023814 | Corona Surgery Center, Inc | Clinic/Center | 400 E Rincon St, Suite 107, Corona, CA 92879-1389 | 2017-03-07 |
| 1760740674 | Corona Pain Management Center | Clinic/Center | 1810 Fullerton Ave, Suite 103, Corona, CA 92881-3103 | 2012-04-27 |
| 1902042658 | Corona Outpatient Surgicenter, LLC | Clinic/Center | 1124 S Main St, # 101, Corona, CA 92882-4449 | 2008-12-31 |
| Find all providers in CORONA | ||||
Please comment or provide details below to improve the information on CORONA SURGICAL LLC.
| 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.