Corona Dermatology Center Inc.
NPI 1790890085ActiveOrganization· Dermatology· Corona, CA
Dermatology in Corona, California, registered in NPPES in August 2006. The authorized official on file is Joy Fortich, Billing Manager.
Overview
| NPI | 1790890085 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2006 |
| Last updated in NPPES | Jan 13, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | G044761 | CA |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | G044761 | CA |
| Dermatology, Dermatopathology | 207ND0900X | G044761 | CA |
| Dermatology, Pediatric Dermatology | 207NP0225X | G044761 | CA |
| Dermatology, Procedural Dermatology | 207NS0135X | G044761 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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