CORONA VA CLINIC
NPI 1750333845
Clinic/Center - VA in Corona, CA

NPI Status: Active since May 17, 2006

Contact Information

280 TELLER ST STE 120
CORONA, CA
ZIP 92879
Phone: (702) 341-3152

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  • Organization
  • Clinic/Center
  • VA
  • Accepts Insurance
  • CLIA Number: 05D2235559
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 09-08-2025

About CORONA VA CLINIC

This page provides the complete NPI Profile along with additional information for Corona Va Clinic, a provider established in Corona, California operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1750333845 assigned on May 2006. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Corona Va Clinic. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1750333845
Provider Legal Name
LOMA LINDA VAMC
Other Organization Name
CORONA VA CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
280 TELLER ST STE 120 CORONA, CA 92879
Location Phone
(702) 341-3152
Mailing Address
PO BOX 94409 CLEVELAND, OH 44101
Mailing Phone
(702) 341-3152
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2006
Last Update Date
12-17-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center VA

Taxonomy Code
261QV0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIN POTTER

Authorized Official Title
NPI TEAM MEMBER
Authorized Official Phone
(202) 382-2579

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2235559
Facility Type
Community Clinic
Certificate Effective Date
September 09, 2023
Certificate Expiration Date
September 08, 2025
Laboratory Director
ALMIRA YUSI-LENN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Corona Va Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CORONA VA CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750333845
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710063688
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 3 + 6 + 8 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1750333845 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104301126DR. DANIEL STROSKY PSYD
Individual
Psychologist (Clinical)280 TELLER ST STE 120
CORONA, CA 92879
(909) 825-7084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750333845, enumerated in the NPI registry as an "organization" on May 17, 2006

The provider is located at 280 Teller St Ste 120 Corona, Ca 92879 and the phone number is (702) 341-3152

This medical organization specializes in Clinic/Center with taxonomy code 261QV0200X with a focus in VA

The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D2235559 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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