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ILLUMINATE MEDICAL INC
NPI 1043075112
Nurse Practitioner - Psychiatric/Mental Health in Corona, CA

Active since February 19, 2024
7891 SLATE CREEK RD, CORONA, CA 92880(409) 356-9778 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Illuminate Medical Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLUMINATE MEDICAL INC (NPI 1043075112) is a healthcare organization registered as a psychiatric/mental health in Corona, California and active in the NPI registry since February 2024. The organization lists Doris Council, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043075112
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameILLUMINATE MEDICAL INC
Location Address7891 SLATE CREEK RDCorona, CA 92880-8544
Mailing Address7891 Slate Creek RdCorona, CA 92880-8544 · (409) 356-9778
Phone(409) 356-9778
Organization SubpartNo
Authorized OfficialDoris CouncilCeo · (409) 356-9778
Enumeration DateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1043075112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
7891 SLATE CREEK RD, Corona, CA 92880
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illuminate Medical Inc's NPI number?

The NPI number for Illuminate Medical Inc is 1043075112. It was assigned to this organization in the NPPES registry on February 19, 2024.

Where is Illuminate Medical Inc located?

Illuminate Medical Inc is located at 7891 Slate Creek Rd, Corona, CA 92880. The listed phone number is (409) 356-9778.

What is Illuminate Medical Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Illuminate Medical Inc was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.