CORNING MEDICAL ASSOCIATES INC NPI 1508935065

NPI Information

NPI: 1508935065
Provider Name: CORNING MEDICAL ASSOCIATES, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
155 SOLANO ST
CORNING, CA
ZIP 96021
Phone: (530) 824-4663
Get Directions

CORNING MEDICAL ASSOCIATES, INC is a family medicine in Corning, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CORNING MEDICAL ASSOCIATES, INC NPI is 1508935065. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 SOLANO ST
CORNING, CA
ZIP 96021-511
Phone: (530) 824-4663
Fax: (530) 824-5204

The provider's authorized official is Connie Massie .
The authorized official title is Office Manager and has the following contact phone number (530) 824-4663.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 8/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	LCS21280	CALIFORNIA	No
2	207Q00000X	Family Medicine		20A8205	CALIFORNIA	No
3	207R00000X	Internal Medicine		A83711	CALIFORNIA	No
4	363AM0700X	Physician Assistant	Medical	PA10063	CALIFORNIA	No
5	363AM0700X	Physician Assistant	Medical	PA12619	CALIFORNIA	No
6	363AM0700X	Physician Assistant	Medical	PA10631	CALIFORNIA	No
7	363AM0700X	Physician Assistant	Medical	PA12458	CALIFORNIA	No
8	207Q00000X	Family Medicine		A21329	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GR0026340	MEDICAID	CALIFORNIA
2	ZZZ14815Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	CORNING MEDICAL ASSOCIATE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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