| Corona Hospitalist Medical Group, Inc. | |
|
800 S Main St Corona CA 92882-3420 | |
| (310) 321-0143 | |
| Not Available |
| Full Name | Corona Hospitalist Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 S Main St, Corona, California |
| Authorized Official Name and Position | Mark R Bell (PRESIDENT) |
| Authorized Official Contact | 3103210413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona Hospitalist Medical Group, Inc. Po Box 80224 City Of Industry CA 91716-8224 Ph: (310) 321-0413 | Corona Hospitalist Medical Group, Inc. 800 S Main St Corona CA 92882-3420 Ph: (310) 321-0143 |
| NPI Number | 1477832871 |
|---|---|
| Provider Enumeration Date | 08/16/2011 |
| Last Update Date | 08/04/2022 |
| Medicare PECOS PAC ID | 0244484525 |
|---|---|
| Medicare Enrollment ID | O20130219000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477832871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Arun S Hatwalkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689600090 PECOS PAC ID: 9234120767 Enrollment ID: I20040521001116 |
| Provider Name | Mark Robert Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588607410 PECOS PAC ID: 0547248353 Enrollment ID: I20040715001257 |
| Provider Name | Sabry F Ghaly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588706105 PECOS PAC ID: 0840231585 Enrollment ID: I20050512000761 |
| Provider Name | Alia Khan-hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609958180 PECOS PAC ID: 1052327467 Enrollment ID: I20060222000487 |
| Provider Name | Karen E Brabant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871667337 PECOS PAC ID: 9830283803 Enrollment ID: I20070920000899 |
| Provider Name | Shahem Kawji |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326059387 PECOS PAC ID: 1658451448 Enrollment ID: I20080107000325 |
| Provider Name | Genaro A Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235157843 PECOS PAC ID: 6709798465 Enrollment ID: I20090106000198 |
| Provider Name | Vinaya Konduri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164451282 PECOS PAC ID: 2163458464 Enrollment ID: I20090926000097 |
| Provider Name | Kaveh N Rezvan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003140922 PECOS PAC ID: 6002004082 Enrollment ID: I20101216000931 |
| Provider Name | Fari G Kamalpour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831327972 PECOS PAC ID: 5193975472 Enrollment ID: I20121022000790 |
| Provider Name | Jason M Fletcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487810131 PECOS PAC ID: 5991949042 Enrollment ID: I20130911000876 |
| Provider Name | Marium G Mohammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174899355 PECOS PAC ID: 8123349123 Enrollment ID: I20150602002940 |
| Provider Name | Behrooz Banihashemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891032512 PECOS PAC ID: 3476867664 Enrollment ID: I20150731016138 |
| Provider Name | Tatiana A Kalita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205231933 PECOS PAC ID: 6507172541 Enrollment ID: I20150904001670 |
| Provider Name | Simone Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386999167 PECOS PAC ID: 6507166923 Enrollment ID: I20160212001921 |
| Provider Name | Bardia Sadr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912398785 PECOS PAC ID: 3971897992 Enrollment ID: I20160812001604 |
| Provider Name | Carlos J Ventura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902219314 PECOS PAC ID: 1850518028 Enrollment ID: I20161108001340 |
| Provider Name | Hong Seok Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750767273 PECOS PAC ID: 5890074322 Enrollment ID: I20161128000604 |
| Provider Name | Farhad Najafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447693742 PECOS PAC ID: 7416239926 Enrollment ID: I20170118001081 |
| Provider Name | Taral A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427266352 PECOS PAC ID: 7517142227 Enrollment ID: I20170131001621 |
| Provider Name | Richard C Jin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053754366 PECOS PAC ID: 4880990597 Enrollment ID: I20170208002901 |
| Provider Name | Mohammed S Qubba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093129009 PECOS PAC ID: 1557631264 Enrollment ID: I20170727002784 |
| Provider Name | Mustafa S Al Lami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689088361 PECOS PAC ID: 7618233156 Enrollment ID: I20171115003624 |
| Provider Name | Dareen Alwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164860110 PECOS PAC ID: 1759512296 Enrollment ID: I20180108002072 |
| Provider Name | Aaron Beltran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104349869 PECOS PAC ID: 3971863093 Enrollment ID: I20180212000726 |
| Provider Name | Nadia Z Akhlaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770900805 PECOS PAC ID: 8426319278 Enrollment ID: I20180219002500 |
| Provider Name | Seung Hei Anna Ferro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083122659 PECOS PAC ID: 8123380029 Enrollment ID: I20180312002055 |
| Provider Name | Ju Hyung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588167704 PECOS PAC ID: 2769747765 Enrollment ID: I20180522001819 |
| Provider Name | Leslie Blanco Cusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760997936 PECOS PAC ID: 6103174347 Enrollment ID: I20180806000823 |
| Provider Name | Jason T Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073957718 PECOS PAC ID: 5496057291 Enrollment ID: I20181016002235 |
| Provider Name | Amanda J Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700324423 PECOS PAC ID: 1052665742 Enrollment ID: I20181115002115 |
| Provider Name | Farnoosh Farshidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841722899 PECOS PAC ID: 8022433341 Enrollment ID: I20200808000166 |
| Provider Name | Nathaniel C Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255959268 PECOS PAC ID: 3476970666 Enrollment ID: I20200902002302 |
| Provider Name | Ali Varasteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962927475 PECOS PAC ID: 6709205966 Enrollment ID: I20201007003077 |
| Provider Name | Amelia Lynn Henninger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932634805 PECOS PAC ID: 6103246558 Enrollment ID: I20201023000932 |
| Provider Name | Narain K Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467770982 PECOS PAC ID: 3678709748 Enrollment ID: I20201026002414 |
| Provider Name | Anam Azhar Goraya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174082432 PECOS PAC ID: 1557744422 Enrollment ID: I20220810003263 |
| Provider Name | Qais Ayouby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154884351 PECOS PAC ID: 9931582608 Enrollment ID: I20220812000382 |
| Provider Name | Sophia Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790245256 PECOS PAC ID: 6406225150 Enrollment ID: I20221220000842 |
| Provider Name | George Carranza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871257139 PECOS PAC ID: 1850761412 Enrollment ID: I20221223001334 |
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