ROGER KORNU MD PC (NPI# 1912418674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912418674 |
| Entity Type | Organization |
| Organization Name | ROGER KORNU MD PC |
| Practice Address |
12791 Newport Ave Ste 208 Tustin CA 92780-8023 |
| Practice Telephone | 7145055500 |
| Mailing Telephone | 7145055500 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2018-10-05 |
| Authorized Official Name | ROGER KORNU (OWNER) |
| Authorized Official Telephone | 7145055500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Street Address |
12791 NEWPORT AVE STE 208 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-8023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841386349 | Roger Kornu | Specialist | 12791 Newport Ave Ste 208, Tustin, CA 92780 | 2006-10-04 |
| 1104141316 | Schuppet Dental Corporation | Dentist | 12791 Newport Ave Ste 208, Tustin, CA 92780-8023 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972510 | Robin K Dore | Internal Medicine | 12791 Newport Ave, Suite 201, Tustin, CA 92780-2751 | 2005-06-16 |
| 1427248491 | Robin K Dore Md Inc | Internal Medicine | 18102 Irvine Blvd, Suite 104, Tustin, CA 92780-3423 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804572 | Shariar Cohen Md Corp | Internal Medicine | 566 Saint Charles Dr, Thousand Oaks, CA 91360-3953 | 2020-09-01 |
| 1538799309 | Ajay Nirula | Internal Medicine | 5171 Meadows Del Mar, San Diego, CA 92130-4855 | 2020-01-21 |
| 1659842532 | Harry Edward Gruber | Internal Medicine | 4511 Rancho Del Mar Trl, San Diego, CA 92130-5207 | 2018-12-17 |
| 1124596556 | Arthritis and Rheumatic Care Clinic, Inc. | Internal Medicine | 1401 N Palm Canyon Dr Ste 103, Palm Springs, CA 92262-4434 | 2018-11-03 |
| 1235629338 | Carewell Medical Group Inc | Internal Medicine | 18419 Us Highway 18 Ste 1, Apple Valley, CA 92307-2333 | 2018-05-14 |
| 1336641992 | Prohealth Partners A Medical Group | Internal Medicine | 26700 Towne Centre Dr Ste 165, Foothill Ranch, CA 92610-2845 | 2018-02-28 |
| 1699291765 | Peter James Lloyd Md Inc | Internal Medicine | 2251 Montgomery Ave, Cardiff, CA 92007-1913 | 2017-08-20 |
| 1285155010 | David Alexandre Chetrit | Internal Medicine | 757 Westwood Plaza, Rheumatology, Los Angeles, CA 90095-6130 | 2017-07-01 |
| 1447791181 | Ross Stephen Howard | Internal Medicine | 936 Harbor View Dr, San Diego, CA 92106-2438 | 2017-03-14 |
| 1295286714 | Tharaknath Rao | Internal Medicine | 14767 Calle Carla, Rancho Santa Fe, CA 92067 | 2016-10-19 |
| Find all providers with the same taxonomy | ||||
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| 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.